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Contact Information

LAKE COUNTY INTERNAL MEDICINE ASSOCIATION LLC
5911 KILDEER CT
LONG GROVE, IL60047-5052
 Phone: 847-672-8373
 Fax: 815-464-9285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for LAKE COUNTY INTERNAL MEDICINE ASSOCIATION LLC

NPI Number 1265833958
LBN Legal business name LAKE COUNTY INTERNAL MEDICINE ASSOCIATION LLC
Authorized official MARIUSZ MILEJCZYK - (M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2014
Last updated 09/12/2014 - About 12 years ago
Identifiers
IL Other DT3947 RAILROAD MEDICARE
IL Other P01139269 RAILROAD MEDICARE INDIVIDUAL
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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