Organization
DALE LIAUGMINAS, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE E. LIAUGMINAS M.D. (PHYSICIAN)
(630) 628-8450
Entity
Organization
Contact information
Practice address
303 W LAKE ST, #201, ADDISON, IL 60101-2586
(630) 628-8450
(630) 628-8091
Mailing address
303 W LAKE ST, #201, ADDISON, IL 60101-2586
(630) 628-8450
(630) 628-8091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036057817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057817
—
IL
Enumeration date
09/10/2008
Last updated
09/10/2008
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