Lake Shore Gastroenterology

NPI #1932225836 in Skokie, Illinois

Provider Information

NPI Number
1932225836
Entity Type
Organization
Organization Name
Lake Shore Gastroenterology
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Mar 22, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
9701 KNOX AVE
Address 2
SUITE 103
City
Skokie
ZIP Code
60076-1256
Phone
(847) 433-9840

Authorized Official

Name
WALTER REIS GLAWS, DO
Title
PRESIDENT
Phone
(847) 244-2960

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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