Waukegan Illinois Hospital Company LLC

NPI #1841335932 in Waukegan, Illinois

Provider Information

NPI Number: 1841335932
Entity Type: Organization
Organization Name: Waukegan Illinois Hospital Company LLC
Primary Specialty: Nutritionist
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1324 N SHERIDAN RD
City: Waukegan
State: Illinois
ZIP Code: 60085-2161
Phone: (847) 360-2392

Authorized Official

Name: GARY D NEWSOME
Title: PRESIDENT
Phone: (615) 465-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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