Lake County Physicians Association

NPI #1760544514 in Waukegan, Illinois

Provider Information

NPI Number: 1760544514
Entity Type: Organization
Organization Name: Lake County Physicians Association
Primary Specialty: Contractor
Enumeration Date: Dec 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2615 WASHINGTON ST
City: Waukegan
State: Illinois
ZIP Code: 60085
Phone: (847) 360-2475

Authorized Official

Name: MR. JOSEPH LIBERATORE
Title: DIRECTOR
Phone: (847) 360-2445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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