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Organization
LAKE COUNTY INTERNAL MEDICINE ASSOCIATION LLC
Active
Organization
LAKE COUNTY INTERNAL MEDICINE ASSOCIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIUSZ MILEJCZYK M.D. (M.D.)
(847) 596-7426
Entity
Organization
Contact information
Practice address
5911 KILDEER CT, LONG GROVE, IL 60047-5052
(847) 672-8373
(815) 464-9285
Mailing address
5911 KILDEER CT, LONG GROVE, IL 60047-5052
(847) 672-8373
(815) 464-9285
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
NULL
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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