Lake Shore Gastroenterolgy Sc

NPI 1215063144 - Pathology - 207ZP0102X

NPI Details
NPI 1215063144
Enumeration Date 02/26/2007
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHELLE L. MICHELLE
Position ADMINISTRATOR
Phone (847) 244-6320
Fax (847) 244-5095
Practice Location
20 TOWER CT
SUITE C
GURNEE IL, 60031, US
Phone (847) 244-6320
Fax (847) 244-5095
Business Location
20 TOWER CT
SUITE C
GURNEE IL, 60031, US
Phone (847) 244-6320
Fax (847) 244-5095
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
Remove 1215063144 NPI Number
 

According to our database, Lake Shore Gastroenterolgy Sc NPI is 1215063144, taxonomy code is 207ZP0102X Lake Shore Gastroenterolgy Sc physically located at 20 Tower Ct, Gurnee IL, 60031. NPI Number 1033115704 has the healthcare provider type.

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1215063144 NPI number is provided on an as is basis without warranty of any kind. 1215063144 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Shore Gastroenterolgy Sc are for informational purposes only.