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1881766509
LAKE SHORE MEDICAL SERVICES
CHICAGO, IL
NPI
1881766509
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Entity Type
Organization
Authorized Contact
BONNIE E. WISE
Director
312-654-5583
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2006-11-15
Last Update Date
2020-08-22
Business Address
LAKE SHORE MEDICAL SERVICES
680 N LAKE SHORE DR SUITE 115
CHICAGO, IL 60611-4546
Phone number: 312-654-5583
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Mailing Address
LAKE SHORE MEDICAL SERVICES
680 N LAKE SHORE DR SUITE 115
CHICAGO, IL 60611-4546
Phone number: 312-654-5583
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