Organization · Type 2 NPI
Lake Medical Clinic SC
Cardiovascular Disease Physician · Grayslake, IL
NPI number
1699760801
Active
Practice location
564 Barron Blvd, Suite C
Grayslake, IL 60030-3355
Fax (847) 223-0149
Mailing address
PO Box 263
Grayslake, IL 60030-0263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 036.053634 (IL) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Grayslake
About NPI 1699760801
Lake Medical Clinic SC's National Provider Identifier is 1699760801, issued on Sep 14, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Grayslake, IL. The record was last updated on Jul 17, 2015.