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Lake County Internal Medicine Assoc Llc
Non-Pharmacy Dispensing Site in Gurnee, Illinois
NPI 1316434376

Lake County Internal Medicine Assoc Llc is a Non-Pharmacy Dispensing Site based in Bristol, IL. Lake County Internal Medicine Assoc Llc practices in Gurnee, IL. The NPI Number for Lake County Internal Medicine Assoc Llc is 1316434376 and holds a License No. 036093940 (Illinois).

The current practice location address for Lake County Internal Medicine Assoc Llc is 15 Tower Ct., Gurnee, IL and can be reached out via phone at 888-590-0808 and via fax at 866-740-4689.

Location: 15 Tower Ct., Gurnee, IL, 19007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316434376
Provider Name
Lake County Internal Medicine Assoc Llc
Credential
Provider Entity Type
Organization
Address
15 Tower Ct., Gurnee, IL, 19007
Phone Number
888-590-0808
Fax Number
866-740-4689
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Tower Ct.
City
Gurnee
State
Illinois
Zip
60031
Phone Number
888-590-0808
Fax Number
866-740-4689
person
Provider Business Mailing Address Details
Address
15 Tower Ct.
City
Gurnee
State
Illinois
Zip
60031
Phone Number
888-590-0808
Fax Number
866-740-4689
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
036093940 (Illinois)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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