Milena J. Lyon
Dermatologist
1801 W Taylor St Suite 3e
Chicago
, Illinois 60612-4319
Milena J. Lyon
Dermatologist
1801 W Taylor St Suite 3e
Chicago
, Illinois 60612-4319
(312) 996-6966
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Milena J. Lyon
- 808 S. Wood Street Room 380
- Chicago, IL
- Zip : 60612
- Phone : (312) 996-6966
Second Address
- Milena J. Lyon
- 1801 W Taylor St Suite 3e
- Chicago, IL
- Zip : 60612-4319
- Phone : (312) 996-8666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 036097128 | IL |
National Provider Identifier
| NPI | 1053512491 |
|---|---|
| Provider Name | Milena J. Lyon |
| First Address | Chicago, IL 60612 |
| Second Address | Chicago, IL 60612-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2007 |
| Last Update Date | 29/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104357509 | (05) | IL |
| H51826 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.