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Individual

DR. PHILIP G LAMBRUSCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 S 8TH ST, WEST DUNDEE, IL 60118-2248
(847) 836-3200
(847) 836-3204
Mailing address
350 S 8TH ST, WEST DUNDEE, IL 60118-2248
(847) 836-3200
(847) 836-3204

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036-065955
IL
174400000X
Specialist
Primary
036-065955
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360659551
IL
Enumeration date
11/17/2006
Last updated
08/06/2010
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