LAKE SHORE GASTROENTEROLOGY

SKOKIE, IL
NPI1932225836
Entity TypeOrganization
Authorized ContactWALTER REIS GLAWS
President
847-244-2960
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
Enumeration Date2007-03-22
Last Update Date2007-08-27
Business Address
LAKE SHORE GASTROENTEROLOGY
9701 KNOX AVE SUITE 103
SKOKIE, IL 60076-1256
Phone number: 847-433-9840
Mailing Address
LAKE SHORE GASTROENTEROLOGY
20 TOWER CT SUITE C
GURNEE, IL 60031-5711
Phone number: 847-244-2960
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