LINCONA MEDICAL ASSO.LTD. NPI 1831124759

NPI Information

LINCONA MEDICAL ASSO.LTD. is a medical genetics phd medical genetics in Chicago, IL. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. LINCONA MEDICAL ASSO.LTD. NPI is 1831124759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5131 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-585
Phone: (773) 878-1515

The provider's authorized official is Laurence Hogstrom .
The authorized official title is Internal Medicine and has the following contact phone number (773) 878-1515.

The CLIA number assigned to this NPI record is 14D0888118 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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:

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