Lum, Bennett
Lum, Bennett is an individual health care provider with primary practice located at 2800 W 95Th Street Little Company Of Mary Hospital, Evergreen IL 60805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lum, Bennett can be contacted via phone (708) 229-5104.Contact Information
Primary practice address
2800 W 95Th Street Little Company Of Mary Hospital
Evergreen IL 60805
Phone: (708) 229-5104
Fax: (630) 323-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036082857 | Illinois |
Profile Details
| NPI number | 1497774459 |
|---|---|
| LBN Legal business name | Lum, Bennett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497774459 | NPPES |
| Illinois | MEDICAID | 036082857 | |
| Illinois | Other | 0221524519 | |
| Illinois | Other | 300125827 |
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