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1497774459
BENNETT LUM
EVERGREEN, IL
NPI
1497774459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036082857)
Enumeration Date
2006-07-19
Last Update Date
2023-11-27
Business Address
Dr. BENNETT LUM MD
2800 W 95TH STREET LITTLE COMPANY OF MARY HOSPITAL
EVERGREEN, IL 60805
Phone number: 708-229-5104
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Mailing Address
Dr. BENNETT LUM MD
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272
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