NPI | 1215379524 |
---|---|
Doing Business As | LAKE FOREST ACUTE CARE |
Entity Type | Organization |
Authorized Contact | MARK EDWARD MASS President 847-814-9376 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 042620111) |
Enumeration Date | 2013-07-28 |
Last Update Date | 2013-07-28 |