LAKE SHORE ADULT & GERIATRIC MEDICINE, LTD

CHICAGO, IL
NPI1326056276
Entity TypeOrganization
Authorized ContactMARK VEXELMAN
President
312-649-6565
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036095873)
Enumeration Date2006-08-04
Last Update Date2010-04-09
Business Address
LAKE SHORE ADULT & GERIATRIC MEDICINE, LTD
150 E HURON STREET SUITE 805
CHICAGO, IL 60611-2912
Phone number: 312-649-6565
Mailing Address
LAKE SHORE ADULT & GERIATRIC MEDICINE, LTD
150 E HURON STREET SUITE 805
CHICAGO, IL 60611-2912
Phone number: 312-649-6565
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