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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

NPI Number 1114102530
LBN Legal business name LAKE COUNTY PEDIATRICS SC
Authorized official MARLENE TANQUILUT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2008
Last updated 01/03/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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