| NPI | 1043522451 |
|---|---|
| Doing Business As | LAKE COUNTY ORTHOPEDIC AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARVIN R FETTER President 847-599-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-08-25 |