Lake County Physicians Association

NPI #1134280753 in Rockford, Illinois

Provider Information

NPI Number
1134280753
Entity Type
Organization
Organization Name
Lake County Physicians Association
Primary Specialty
Health Maintenance Organization
Enumeration Date
Dec 13, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
630 E JEFFERSON ST
ZIP Code
61107-4026
Phone
(815) 490-6752

Authorized Official

Name
VICTORIA L WELTER
Title
DIRECTOR FULL SERVICE UNIT
Phone
(815) 490-6752

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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