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1144477738
LAKESIDE MEDICAL, INC.
EVANSTON, IL
NPI
1144477738
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Entity Type
Organization
Authorized Contact
JEFF VANTIL
CEO
219-926-5400
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
LAKESIDE MEDICAL, INC.
1001 EMERSON ST SUITE 306
EVANSTON, IL 60201-3147
Phone number: 847-209-3729
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Mailing Address
LAKESIDE MEDICAL, INC.
320 S CALUMET RD
CHESTERTON, IN 46304-2451
Phone number: 219-926-5400
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