Lake Villa Internal Medicine
NPI #1861457558 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1861457558
- Entity Type
- Organization
- Organization Name
- Lake Villa Internal Medicine
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 50 S MILWAUKEE AVE
- Address 2
- STE 104
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046
- Phone
- (847) 356-2700
Authorized Official
- Name
- CORRADO UGOLINI, MD
- Title
- PRESIDENT
- Phone
- (847) 356-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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