Lake County Primary Care S.c.

NPI #1245761295 in Gurnee, Illinois

Provider Information

NPI Number: 1245761295
Entity Type: Organization
Organization Name: Lake County Primary Care S.c.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2017
Last Updated: Apr 24, 2018

Practice Location

Address: 15 TOWER CT
Address 2: SUITE 255
City: Gurnee
State: Illinois
ZIP Code: 60031-3336
Phone: (847) 526-2151

Authorized Official

Name: JASON BELLUCCI
Title: OFFICE ADMINISTRATOR
Phone: (847) 526-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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