DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SHORE INTERNAL MEDICINE SC

Active Organization

LAKE SHORE INTERNAL MEDICINE SC is a Internal Medicine organization located in GURNEE, Illinois. NPI 1114924552 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GURNEE, IL

Registration Details

NPI Number
1114924552
Provider Type
Organization
NPI Issued
Jun 30, 2005 (21.122428237867 yrs)
Last Updated
Jul 21, 2008
Licenses
03606886 (IL)
036059341 (IL)

Practice Information

Address
7505 GRAND AVE
GURNEE, IL, 600311551
Browse IL providers · Browse ZIP 60031
Phone
8472458448
Fax
8472457070
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Organizations in GURNEE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.