Individual provider Active NPI

Ing-Ing Lam, MD

  • Child & Adolescent Psychiatry Physician
  • Orland Park, IL
National Provider Identifier
1750365482
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036083008 Issued in IL
Practice address
9611 165TH St
Suite 13
Orland Park, IL 60467-5654
Phone
(708) 226-0661
Fax
(708) 226-0669
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36083008 IL
Child & Adolescent Psychiatry Physician 2084P0804X 036083008 IL Primary

Addresses

Primary practice location

9611 165TH St
Suite 13
Orland Park, IL 60467-5654

Mailing address

9611 165TH St
Suite 13
Orland Park, IL 60467-5654
Phone (708) 226-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36083008ILMDPsychiatry Physician
036083008ILMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1750365482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 13",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-226-0661",
            "fax_number": "708-226-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 13",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-226-0661",
            "fax_number": "708-226-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ING-ING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36083008",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036083008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.