1316434376 NPI number — LAKE COUNTY INTERNAL MEDICINE ASSOC LLC

Table of content: (NPI 1316434376)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316434376 NPI number — LAKE COUNTY INTERNAL MEDICINE ASSOC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAKE COUNTY INTERNAL MEDICINE ASSOC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316434376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 RITTENHOUSE CIRCLE
Provider Second Line Business Mailing Address:
EAST BUILDING STE 5
Provider Business Mailing Address City Name:
BRISTOL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-590-0808
Provider Business Mailing Address Fax Number:
866-740-4689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 TOWER CT.
Provider Second Line Business Practice Location Address:
STE 190
Provider Business Practice Location Address City Name:
GURNEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-590-0808
Provider Business Practice Location Address Fax Number:
866-740-4689
Provider Enumeration Date:
04/16/2018

Additional Information

Authorized Official

Authorized Official Last Name:
HAHN
Authorized Official First Name:
MACKENZIE
Authorized Official Middle Name:
Authorized Official Title or Position:
NCPDP COORDINATOR
Authorized Official Telephone Number:
888-590-0808

Provider Taxonomy Codes

  • Taxonomy code: 332900000X , with the licence number:  036093940 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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