institution
Katrina Lake Md Llc
Multi-Specialty Clinic/Center in Country Club Hills, Illinois
NPI 1013536663

Katrina Lake Md Llc is a Multi-Specialty Clinic/Center based in Country Club Hills, IL and is specialized in Multi-Specialty. Katrina Lake Md Llc practices in Country Club Hills, IL. The NPI Number for Katrina Lake Md Llc is 1013536663 and holds a License No. (Illinois).

The current practice location address for Katrina Lake Md Llc is 18503 Bellamy Rd, Country Club Hills, IL and can be reached out via phone at 708-365-8343.

Location: 18503 Bellamy Rd, Country Club Hills, IL, 60478-5279
institution
Provider Profile Details
NPI Number
1013536663
Provider Name
Katrina Lake Md Llc
Credential
Provider Entity Type
Organization
Address
18503 Bellamy Rd, Country Club Hills, IL, 60478-5279
Phone Number
708-365-8343
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036141229 05 IL
institution
Provider Business Practice Location Address Details
Address
18503 Bellamy Rd
City
State
Zip
60478-5279
Phone Number
708-365-8343
Fax Number
person
Provider Business Mailing Address Details
Address
18503 Bellamy Rd
City
State
Zip
60478-5279
Phone Number
708-365-8343
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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