Provider Demographics
NPI:1306915012
Name:LIN, MING-TE M (MD)
Entity type:Individual
Prefix:DR
First Name:MING-TE
Middle Name:M
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3235 VOLLMER RD
Mailing Address - Street 2:SUITE 142
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422
Mailing Address - Country:US
Mailing Address - Phone:708-957-7937
Mailing Address - Fax:708-799-6711
Practice Address - Street 1:3235 VOLLMER RD
Practice Address - Street 2:SUITE 142
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422
Practice Address - Country:US
Practice Address - Phone:708-957-7937
Practice Address - Fax:708-799-6711
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2015-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-056554207K00000X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL498511Medicare ID - Type Unspecified
D13289Medicare UPIN