LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.

OAK PARK, IL
NPI1528237765
Entity TypeOrganization
Authorized ContactKAMRAN HEYDARPOUR
Owner
708-763-8248
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IL  336-052655)
Enumeration Date2008-02-21
Last Update Date2014-11-26
Business Address
LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.
1 ERIE COURT SUITE 3100
OAK PARK, IL 60614-8542
Phone number: 708-763-8248
Mailing Address
LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.
PO BOX 14905
CHICAGO, IL 60614-8542
Phone number: 708-763-8248