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1124140652
LAKE FOREST EAR NOSE AND THROAT LTD
LAKE FOREST, IL
NPI
1124140652
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Entity Type
Organization
Authorized Contact
LESLIE JAY BLOCK
President
847-295-1114
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 036048252)
Enumeration Date
2007-04-04
Last Update Date
2010-10-26
Business Address
LAKE FOREST EAR NOSE AND THROAT LTD
700 N WESTMORELAND RD BLD F
LAKE FOREST, IL 60045-1679
Phone number: 847-295-1114
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Mailing Address
LAKE FOREST EAR NOSE AND THROAT LTD
700 N WESTMORELAND RD BLD F
LAKE FOREST, IL 60045-1679
Phone number: 847-295-1114
Copy
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