DR. LYNETTE LUM (NPI# 1518992551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518992551 |
| Entity Type | Individual |
| Full Name | DR. LYNETTE LUM |
| Credential | M.D. |
| Practice Address |
7435 W Talcott Ave Chicago IL 60631-3707 |
| Practice Telephone | 7737925199 |
| Mailing Telephone | 7737925199 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
036102406 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036102406 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036102406 | IL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036102406 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036102406 | IL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
036102406 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036102406-2 | 05 | |
| IL | BLUE CROSS BLUE SHIELD-IL | 0001619902 | 01 |
| Street Address |
7435 W TALCOTT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324515 | Matthew Alexander Brown | Family Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2005-05-31 |
| 1417575630 | Christine Rheintgen | Counselor | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-07-14 |
| 1518584028 | Jose Belandres IIi | Nurse Anesthetist, Certified Registered | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-06-30 |
| 1417579426 | Brett M Hanson | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-05-12 |
| 1871114272 | William John Noel II | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-27 |
| 1932729738 | Leo Viray | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
| 1538789318 | Jacob Byron Cihla | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-21 |
| 1790304855 | Elizabeth Celeste England | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-09 |
| 1609405869 | Alexander Reinhardt Rosc | Registered Nurse | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-08 |
| 1881223154 | Fatma Betul Ciftci | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
| 1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
| 1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
| 1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
| 1528008539 | Ejaz Rahimchaudhry | Radiology | 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 | 2006-06-07 |
| 1194358200 | Ming Lun Chiu | Radiology | 251 E Huron St, Chicago, IL 60611-2908 | 2020-02-17 |
| 1841752896 | Xiao Zhou Du | Radiology | 251 E Huron St, Chicago, IL 60611-3055 | 2019-04-01 |
| 1295179448 | Przemyslaw Ignaciuk | Radiology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2013-04-18 |
| 1164740874 | Caroline Kato | Radiology | 1901 W Harrison St, Rm 2533, Chicago, IL 60612-3714 | 2010-05-06 |
| 1467778134 | David V. Schacht | Radiology | 5841 S Maryland Ave, P220/mc2026, Chicago, IL 60637-1447 | 2010-04-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.