LAKE COUNTY INTERNAL MEDICINE ASSOC LLC

GURNEE, IL
NPI1316434376
Entity TypeOrganization
Authorized ContactMACKENZIE HAHN
Ncpdp Coordinator
888-590-0808
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: IL  036093940)
Enumeration Date2018-04-16
Last Update Date2018-04-16
Business Address
LAKE COUNTY INTERNAL MEDICINE ASSOC LLC
15 TOWER CT. STE 190
GURNEE, IL 60031
Phone number: 888-590-0808
Mailing Address
LAKE COUNTY INTERNAL MEDICINE ASSOC LLC
200 RITTENHOUSE CIRCLE EAST BUILDING STE 5
BRISTOL, PA 19007
Phone number: 888-590-0808