# LAKE FOREST MEDICAL SC

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

## Provider details

- **NPI number:** 1932183365
- **Authorized official:** DR. SCOTT E BRAUNLICH M.D. (PRESIDENT)
- **Authorized official phone:** (847) 604-8144

## Contact information

- **Practice address:** 800 N WESTMORELAND RD, SUITE 100, LAKE FOREST, IL 60045-1673
- **Practice address phone:** (847) 604-8144
- **Practice address fax:** (847) 234-4682
- **Mailing address:** 800 N WESTMORELAND RD, SUITE 100, LAKE FOREST, IL 60045-1673
- **Mailing address phone:** (847) 604-8144
- **Mailing address fax:** (847) 234-4682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042618006 | IL | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 05/12/2009