Great Lakes Medical Llc

NPI 1497980759 - Clinic/Center - 261QA1903X

NPI Details
NPI 1497980759
Enumeration Date 05/15/2009
Last Updated 03/15/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN L JOHN
Position DIRECTOR
Phone (773) 885-7696
Fax (773) 409-5710
Practice Location
8153 S 27TH ST
FRANKLIN WI, 53132-7012, US
Phone (773) 885-7696
Fax (773) 409-5710
Business Location
DEPARTMENT 7917
CAROL STREAM IL, 60122, US
Phone (773) 885-7696
Fax (773) 409-5710
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
Remove 1497980759 NPI Number
 

According to our database, Great Lakes Medical Llc NPI is 1497980759, taxonomy code is 261QA1903X Great Lakes Medical Llc physically located at 8153 S 27th St, Franklin WI, 53132-7012. NPI Number 1033115704 has the healthcare provider type.

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1497980759 NPI number is provided on an as is basis without warranty of any kind. 1497980759 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Medical Llc are for informational purposes only.