Family Care Of Lake County S.c.

NPI 1861485658 - Family Medicine - 207Q00000X

NPI Details
NPI 1861485658
Enumeration Date 08/26/2005
Last Updated 10/15/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SEMYON SEMYON
Position OWNER
Phone (847) 245-8700
Fax (847) 245-8771
Practice Location
500 PARK AVE
STE 104
LAKE VILLA IL, 60046-6556, US
Phone (847) 245-8700
Fax (847) 245-8771
Business Location
500 PARK AVE
STE 104
LAKE VILLA IL, 60046-6556, US
Phone (847) 245-8700
Fax (847) 245-8771
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1861485658 NPI Number
 

According to our database, Family Care Of Lake County S.c. NPI is 1861485658, taxonomy code is 207Q00000X Family Care Of Lake County S.c. physically located at 500 Park Ave, Lake Villa IL, 60046-6556. NPI Number 1033115704 has the healthcare provider type.

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1861485658 NPI number is provided on an as is basis without warranty of any kind. 1861485658 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Of Lake County S.c. are for informational purposes only.