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Organization
LAKE FOREST INTERNAL MEDICINE, LTD
Active
Organization
LAKE FOREST INTERNAL MEDICINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT F MILLER M.D. (VICE PRESIDENT/ TREASURER)
(847) 816-3084
Entity
Organization
Contact information
Practice address
1800 HOLLISTER DR, STE 211, LIBERTYVILLE, IL 60048-5263
(847) 816-3084
(847) 816-0031
Mailing address
1800 HOLLISTER DR, STE 211, LIBERTYVILLE, IL 60048-5263
(847) 816-3084
(847) 816-0031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617582
IL
Other
Enumeration date
08/23/2007
Last updated
10/24/2012
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