LAKE STREET FAMILY MEDICINE, LLC

ADDISON, IL
NPI1639204613
Entity TypeOrganization
Authorized ContactBRIAN KOECHER
Physician
630-516-0434
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-02-22
Last Update Date2012-12-11
Business Address
LAKE STREET FAMILY MEDICINE, LLC
220 E LAKE ST SUITE 100
ADDISON, IL 60101-2887
Phone number: 630-516-0434
Mailing Address
LAKE STREET FAMILY MEDICINE, LLC
220 E LAKE ST SUITE 100
ADDISON, IL 60101-2887
Phone number: 630-516-0434
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