Lake Cook Surgical Associates PC

NPI #1801897434 in Park Ridge, Illinois

Provider Information

NPI Number
1801897434
Entity Type
Organization
Organization Name
Lake Cook Surgical Associates PC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Aug 4, 2005
Last Updated
Jul 16, 2007

Practice Location

Address
1600 DEMPSTER ST
Address 2
SUITE 102
ZIP Code
60068-1109
Phone
(847) 635-9006

Authorized Official

Name
JANICE R. KLICH, M.D.
Title
PRESIDENT
Phone
(847) 635-9006

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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