Prime Healthcare Gi - Lakeshore LLC

NPI #1669291407 in Des Plaines, Illinois

Provider Information

NPI Number
1669291407
Entity Type
Organization
Organization Name
Prime Healthcare Gi - Lakeshore LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 8, 2024
Last Updated
Oct 8, 2024

Practice Location

Address
150 N RIVER RD STE 215
ZIP Code
60016-1297
Phone
(847) 787-1099

Authorized Official

Name
CHRISTOPHER DOAN
Title
MANAGING ASSOCIATE GENERAL COUNSEL
Phone
(310) 259-4706

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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