| NPI | 1336498062 |
|---|---|
| Doing Business As | LAKE CICERO CLINIC |
| Entity Type | Organization |
| Authorized Contact | GURCHARAN SINGH RANDHAWA Owner Physician 773-378-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036085519) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |