| NPI | 1558698589 |
|---|---|
| Doing Business As | LAKEVIEW MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HAROLD MARSHALL REISLER Controller 773-989-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |