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Lake Shore Gastroenterology

NPI #1467578294 in Gurnee, Illinois

Provider Information

NPI Number
1467578294
Entity Type
Organization
Organization Name
Lake Shore Gastroenterology
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Mar 22, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
20 TOWER CT
Address 2
SUITE C
City
Gurnee
State
Illinois
ZIP Code
60031-5711
Phone
(847) 244-2960

Authorized Official

Name
WALTER REID GLAWS, DO
Title
PRESIDENT
Phone
(847) 244-2960

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Gastroenterology — Gastroenterology

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