LAKE SHORE GASTROENTEROLOGY

HIGHLAND PARK, IL
NPI1205952686
Entity TypeOrganization
Authorized ContactFRED B ROSENBERG
President
847-244-2960
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IL  042.617686)
Enumeration Date2007-03-21
Last Update Date2020-08-22
Business Address
LAKE SHORE GASTROENTEROLOGY
806 CENTRAL AVE SUITE 202
HIGHLAND PARK, IL 60035-5613
Phone number: 847-433-9840
Mailing Address
LAKE SHORE GASTROENTEROLOGY
20 TOWER CT SUITE C
GURNEE, IL 60031-5711
Phone number: 847-244-2960