Active NPI
Min H Lin, M.D.
- Internal Medicine Physician
- Round Lake, IL
National Provider Identifier
1902861289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36045267
- Practice address
- 206 W. Nippersink Rd.
Round Lake, IL 60073 - Phone
- (847) 546-8500
- Fax
- (847) 546-4409
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36045267 | IL | Primary |
Addresses
Primary practice location
206 W. Nippersink Rd.
Round Lake, IL 60073
Mailing address
206 W. Nippersink Rd.
Round Lake, IL 60073
Phone (847) 546-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36045267 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36045267 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Min H. Lin, M.D. LTD. | Current | Accepting new patients | |
| Waukegan Clinic Corp | Internal Medicine | Past | Accepting new patients |
Locations
206 W Nippersink Rd
Round Lake, IL 60073
Phone (847) 546-8500
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Round Lake, IL
- NPI 1700071206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1902861289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W. NIPPERSINK RD.",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "60073",
"telephone_number": "847-546-8500",
"fax_number": "847-546-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W. NIPPERSINK RD.",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "60073",
"telephone_number": "847-546-8500",
"fax_number": "847-546-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "MIN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "36045267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36045267",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.