LAKE SHORE GASTROENTEROLOGY
Organization (NPI-2)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1275659187- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9700 KENTON AVE SUITE 100, SKOKIE, IL, 600761259
- Phone
- (847) 433-9840
- Fax
- (847) 433-9842
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: IL #042617686