Lake Forest Pediatric Associates, Ltd

NPI #1659410496 in Lake Bluff, Illinois

Provider Information

NPI Number: 1659410496
Entity Type: Organization
Organization Name: Lake Forest Pediatric Associates, Ltd
Primary Specialty: Pediatrics
Enumeration Date: Feb 6, 2007
Last Updated: Nov 4, 2013

Practice Location

Address: 917 SHERWOOD DR
City: Lake Bluff
State: Illinois
ZIP Code: 60044-2203
Phone: (847) 295-1220

Authorized Official

Name: LISA M MACNAIR
Title: DIRECTOR
Phone: (847) 295-1220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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