ROUND LAKE MEDICAL SUITES; NPI #1861513822

Contact Information

ROUND LAKE MEDICAL SUITES

2 E ROLLINS RD
SUITE 108
ROUND LAKE BEACH, IL 60073-3808

Phone: 847-546-9455
Fax: 847-247-2840
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ROUND LAKE MEDICAL SUITES

NPI # 1861513822

LBN Legal business name ROUND LAKE MEDICAL SUITES

Authorized official SUSAN GOODMAN - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/03/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

42618258

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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