Lake Shore Gastroenterology
NPI #1205952686 in Highland Park, Illinois
Provider Information
- NPI Number
- 1205952686
- Entity Type
- Organization
- Organization Name
- Lake Shore Gastroenterology
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 806 CENTRAL AVE
- Address 2
- SUITE 202
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-5613
- Phone
- (847) 433-9840
Authorized Official
- Name
- FRED B ROSENBERG, MD
- Title
- PRESIDENT
- Phone
- (847) 244-2960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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