DR. KANG-YANN LIN MD NPI 1255324786

NPI Information

NPI: 1255324786
Provider Name: DR. KANG-YANN LIN, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1616 GRAND AVE
SUITE A
WAUKEGAN, IL
ZIP 60085
Phone: (847) 662-5050
Get Directions

DR. Kang-yann Lin, MD is a nephrology internal medicine in Waukegan, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Kang-yann Lin, MD NPI is 1255324786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1616 GRAND AVE
SUITE A
WAUKEGAN, IL
ZIP 60085-600
Phone: (847) 662-5050
Fax: (847) 782-5615

The NPI 1255324786 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 10/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	36-49957	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	315630	MEDICARE PIN	ILLINOIS
2	C39611	MEDICARE UPIN
3	04900703	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
4	036049957	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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