LAKE FOREST EAR NOSE AND THROAT LTD
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1124140652- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 700 N WESTMORELAND RD BLD F, LAKE FOREST, IL, 600451679
- Phone
- (847) 295-1114
- Fax
- (847) 295-9373
Specialties & Taxonomies
Otolaryngology
Primary License: IL #036048252