Lake County Medical Group Sc

NPI #1588666150 in Mundelein, Illinois

Provider Information

NPI Number: 1588666150
Entity Type: Organization
Organization Name: Lake County Medical Group Sc
Primary Specialty: Specialist
Enumeration Date: Aug 12, 2005
Last Updated: Jun 18, 2010

Practice Location

Address: 157 N SEYMOUR AVE
City: Mundelein
State: Illinois
ZIP Code: 60060-2304
Phone: (847) 566-0300

Authorized Official

Name: MS. NINA NEYMAN, M.D.
Title: PRESIDENT
Phone: (847) 566-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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