LAKE SHORE INTERNAL MEDICINE SC

Internal Medicine

Active Organization
NPI: 1114924552

Practice Address

7505 GRAND AVE
Gurnee, IL 60031

Phone: (847) 245-8448

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 036059341 (IL)

Frequently Asked Questions

NPI 1114924552 is the National Provider Identifier for LAKE SHORE INTERNAL MEDICINE SC, a Internal Medicine provider located in Gurnee, IL. This NPI was enumerated on June 30, 2005.

Quick Facts

NPI
1114924552
Type
Organization
Enumerated
Jun 30, 2005
Last Updated
Jul 21, 2008

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