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Lake Medical Clinic Sc
Cardiovascular Disease Physician in Grayslake, Illinois
NPI 1699760801

Lake Medical Clinic Sc is a Cardiovascular Disease Physician based in Grayslake, IL and is specialized in Cardiovascular Disease. Lake Medical Clinic Sc practices in Grayslake, IL. The NPI Number for Lake Medical Clinic Sc is 1699760801 and holds a License No. 036.053634 (Illinois).

The current practice location address for Lake Medical Clinic Sc is 564 Barron Blvd, Grayslake, IL and can be reached out via phone at 847-223-4440 and via fax at 847-223-0149.

Location: 564 Barron Blvd, Grayslake, IL, 60030-0263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699760801
Provider Name
Lake Medical Clinic Sc
Credential
Provider Entity Type
Organization
Address
564 Barron Blvd, Grayslake, IL, 60030-0263
Phone Number
847-223-4440
Fax Number
847-223-0149
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036053634 05 IL
institution
Provider Business Practice Location Address Details
Address
564 Barron Blvd
City
Grayslake
State
Illinois
Zip
60030-3355
Phone Number
847-223-4440
Fax Number
847-223-0149
person
Provider Business Mailing Address Details
Address
564 Barron Blvd
City
Grayslake
State
Illinois
Zip
60030-3355
Phone Number
847-223-4440
Fax Number
847-223-0149
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036.053634 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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