Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 036081061 | IL |
NPI | 1023104247 |
---|---|
Provider Name | Mark B Lampert |
First Address | Evanston, IL 60201-1718 |
Second Address | Skokie, IL 60077-1057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/02/2021 |