LAKE MI MOBILE DOCTORS, P.C.

SAINT LOUIS, MO
NPI1992057566
Doing Business AsMOBILE DOCTORS OF ST. LOUIS
Entity TypeOrganization
Authorized ContactTYSYN CONTRERAS
Director Of Quality Assurance
773-751-7200
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine Geriatric Medicine
Additional Taxonomies207QG0300X Family Medicine Geriatric Medicine
213E00000X Podiatrist
Enumeration Date2012-10-08
Last Update Date2012-10-08
Business Address
LAKE MI MOBILE DOCTORS, P.C.
10016 OFFICE CENTER AVE SUITE 100
SAINT LOUIS, MO 63128-1468
Phone number: 314-720-0855
Mailing Address
LAKE MI MOBILE DOCTORS, P.C.
3319 N ELSTON AVE SUITE 200
CHICAGO, IL 60618-5811
Phone number: 773-751-7200
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