# LGM,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528255213
- **Authorized official:** DR. ANNE E NIEDENTHAL MD (PRESIDENT)
- **Authorized official phone:** (847) 853-8100

## Contact information

- **Practice address:** 1625 SHERIDAN RD, WILMETTE, IL 60091-1824
- **Practice address phone:** (847) 853-8100
- **Practice address fax:** (847) 853-8114
- **Mailing address:** 1625 SHERIDAN RD, WILMETTE, IL 60091-1824
- **Mailing address phone:** (847) 853-8100
- **Mailing address fax:** (847) 853-8114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 07/11/2008