| NPI | 1316049166 |
|---|---|
| Doing Business As | LAKESHORE UROLOGY |
| Entity Type | Organization |
| Authorized Contact | BALAKRISHNA SUNDAR President 847-692-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036053086) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-10-23 |