Lake County Internal Medicine Associates, LLC

NPI #1154686525 in Long Grove, Illinois

Provider Information

NPI Number: 1154686525
Entity Type: Organization
Organization Name: Lake County Internal Medicine Associates, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 5911 KILDEER CT
City: Long Grove
State: Illinois
ZIP Code: 60047-5052
Phone: (847) 478-5108

Authorized Official

Name: MARIUSZ MILEJCZYK, M,D.
Title: PRESIDENT
Phone: (847) 478-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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