institution
Lakeview Diagnostics Inc
Sonography Radiologic Technologist in Wilmette, Illinois
NPI 1093810681

Lakeview Diagnostics Inc is a Sonography Radiologic Technologist based in Wilmette, IL and is specialized in Sonography. Lakeview Diagnostics Inc practices in Wilmette, IL. The NPI Number for Lakeview Diagnostics Inc is 1093810681 and holds a License No. 036064756 (Illinois).

The current practice location address for Lakeview Diagnostics Inc is 708 Lavergne Ave, Wilmette, IL and can be reached out via phone at 773-910-0193 and via fax at 773-637-2006.

Location: 708 Lavergne Ave, Wilmette, IL, 60091-2028
institution
Provider Profile Details
NPI Number
1093810681
Provider Name
Lakeview Diagnostics Inc
Credential
Provider Entity Type
Organization
Address
708 Lavergne Ave, Wilmette, IL, 60091-2028
Phone Number
773-910-0193
Fax Number
773-637-2006
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1633943 01 IL BLUE SHIELD OF IL
036064756 05 IL
institution
Provider Business Practice Location Address Details
Address
708 Lavergne Ave
City
State
Zip
60091-2028
Phone Number
773-910-0193
Fax Number
773-637-2006
person
Provider Business Mailing Address Details
Address
708 Lavergne Ave
City
State
Zip
60091-2028
Phone Number
773-910-0193
Fax Number
773-637-2006
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
036064756 (Illinois)
Definition
Definition to come...
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