Family Medicine Associates of Lutheran General S C

NPI #1033295415 in Niles, Illinois

Provider Information

NPI Number: 1033295415
Entity Type: Organization
Organization Name: Family Medicine Associates of Lutheran General S C
Primary Specialty: Family Medicine
Enumeration Date: Oct 28, 2006
Last Updated: Jun 18, 2008

Practice Location

Address: 7900 N MILWAUKEE AVE
Address 2: SUITE 233
City: Niles
State: Illinois
ZIP Code: 60714-3159
Phone: (847) 967-9660

Authorized Official

Name: DEBROAH GEISMAR, M.D.
Title: PRESIDENT
Phone: (847) 967-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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