| NPI | 1942281126 |
|---|---|
| Former Legal Business Name | LAKE COUNTY NEUROSURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN S CITOW Owner 847-362-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-02-08 |