Organization
LS MEDICAL GROUP,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARADA DESHPANDE MD (PRESIDENT)
(312) 576-3678
Entity
Organization
Contact information
Practice address
1515 E LAKE ST, SUITE 208, HANOVER PARK, IL 60133-4896
(312) 576-3678
(866) 401-3217
Mailing address
3 LAMBETH CT, OAK BROOK, IL 60523-1723
(312) 576-3678
(866) 401-3217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036093798
IL
Other
Enumeration date
10/14/2008
Last updated
10/25/2008
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