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1841363850
LAKE STREET FAMILY PHYSICIANS SC INC
OAK PARK, IL
NPI
1841363850
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Entity Type
Organization
Authorized Contact
NANCY BELL
Practice Manager
708-524-8600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 042618366)
Enumeration Date
2006-11-16
Last Update Date
2013-02-12
Business Address
LAKE STREET FAMILY PHYSICIANS SC INC
1010 W LAKE ST SUITE 500
OAK PARK, IL 60301
Phone number: 708-524-8600
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Mailing Address
LAKE STREET FAMILY PHYSICIANS SC INC
PO BOX 799
OAK PARK, IL 60303
Phone number: 708-524-8600
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