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1396927398
LAKE SHORE SURGICAL ASSOCIATES, LTD.
CHICAGO, IL
NPI
1396927398
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Entity Type
Organization
Authorized Contact
LAWRENCE MARK KRAUSE
President
312-641-1150
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 036060787)
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
LAKE SHORE SURGICAL ASSOCIATES, LTD.
111 N WABASH AVE STE 1709
CHICAGO, IL 60602-2989
Phone number: 312-641-1150
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Mailing Address
LAKE SHORE SURGICAL ASSOCIATES, LTD.
PO BOX 1460
HIGHLAND PARK, IL 60035-7460
Phone number: 312-641-1150
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