Great Lakes Endocrine and General Surgery LLC
NPI #1295197044 in Burr Ridge, Illinois
Provider Information
- NPI Number
- 1295197044
- Entity Type
- Organization
- Organization Name
- Great Lakes Endocrine and General Surgery LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Mar 22, 2016
Practice Location
- Address
- 104 CIRCLE RIDGE DR
- City
- Burr Ridge
- State
- Illinois
- ZIP Code
- 60527-8379
- Phone
- (570) 772-7792
Authorized Official
- Name
- DR. SAMER RODWAN RAJJOUB, M.D.
- Title
- PRESIDENT
- Phone
- (570) 772-7792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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