Lake Street Family Physicians Sc INC

NPI #1841363850 in Oak Park, Illinois

Provider Information

NPI Number: 1841363850
Entity Type: Organization
Organization Name: Lake Street Family Physicians Sc INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 16, 2006
Last Updated: Feb 12, 2013

Practice Location

Address: 1010 W LAKE ST
Address 2: SUITE 500
City: Oak Park
State: Illinois
ZIP Code: 60301
Phone: (708) 524-8600

Authorized Official

Name: NANCY BELL
Title: PRACTICE MANAGER
Phone: (708) 524-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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