Lake Shore Internal Medicine Sc

NPI #1114924552 in Gurnee, Illinois

Provider Information

NPI Number: 1114924552
Entity Type: Organization
Organization Name: Lake Shore Internal Medicine Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 30, 2005
Last Updated: Jul 21, 2008

Practice Location

Address: 7505 GRAND AVE
City: Gurnee
State: Illinois
ZIP Code: 60031-1551
Phone: (847) 245-8448

Authorized Official

Name: PARU K SHARMA, MD
Title: CEO
Phone: (847) 245-8448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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