Ob/gyne Associates of Lake County, S.c.
NPI #1497748222 in Libertyville, Illinois
Provider Information
- NPI Number
- 1497748222
- Entity Type
- Organization
- Organization Name
- Ob/gyne Associates of Lake County, S.c.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Jul 31, 2008
Practice Location
- Address
- 890 GARFIELD AVE
- Address 2
- SUITE 200
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-4723
- Phone
- (847) 549-1818
Authorized Official
- Name
- DR. RICHARD MCCLOUD ALLEN, M.D.
- Title
- PHYSICIAN
- Phone
- (847) 549-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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