SURGEONS OF LAKE COUNTY LLC

LIBERTYVILLE, IL
NPI1417145301
Entity TypeOrganization
Authorized ContactSCOTT CHRISTOPHER OTTO
President
847-816-7495
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036109065)
Enumeration Date2007-10-04
Last Update Date2009-10-01
Business Address
SURGEONS OF LAKE COUNTY LLC
1870 W WINCHESTER RD SUITE 112
LIBERTYVILLE, IL 60048-5358
Phone number: 847-816-7495
Mailing Address
SURGEONS OF LAKE COUNTY LLC
1870 W WINCHESTER RD SUITE 112
LIBERTYVILLE, IL 60048-5358
Phone number: 847-816-7495
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