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1841247608
NORTHERN LAKE MEDICAL, LTD.
GURNEE, IL
NPI
1841247608
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Entity Type
Organization
Authorized Contact
MARK TUCCI
President
847-587-0115
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-05-27
Last Update Date
2020-08-22
Business Address
NORTHERN LAKE MEDICAL, LTD.
45 TOWER CT SUITE C
GURNEE, IL 60031-3376
Phone number: 847-623-3200
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Mailing Address
NORTHERN LAKE MEDICAL, LTD.
45 TOWER CT SUITE C
GURNEE, IL 60031-3376
Phone number: 847-623-3200
Copy
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