Presence Lakeshore Gastroenterology, LLC
NPI #1639618036 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1639618036
- Entity Type
- Organization
- Organization Name
- Presence Lakeshore Gastroenterology, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 17, 2017
- Last Updated
- May 8, 2018
Practice Location
- Address
- 150 N RIVER RD
- Address 2
- SUITE 215
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-1272
- Phone
- (847) 787-1099
Authorized Official
- Name
- MRS. LAUREN LAVAJA
- Title
- ADMINISTRATOR
- Phone
- (847) 787-1099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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