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Contact Information

LAKE COUNTY PEDIATRICS SC
200 S GREENLEAF AVE
SUITE E
GURNEE, IL60031
 Phone: 847-336-0770
 Fax: 847-336-0159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKE COUNTY PEDIATRICS SC · (Female)

NPI Number 1114102530
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2008
Last updated 01/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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