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Organization
LAKE COUNTY PHYSICIANS ASSOCIATION
Active
Organization
LAKE COUNTY PHYSICIANS ASSOCIATION
Active
Other names
Saint Therese Physicians Association
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LIBERATORE (DIRECTOR)
(847) 360-2445
Entity
Organization
Contact information
Practice address
2615 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 360-2475
(847) 625-6225
Mailing address
2615 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 360-2475
(847) 625-6225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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