Organization
LAKE COUNTY INTERNAL MEDICINE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUSZ MILEJCZYK M,D. (PRESIDENT)
(847) 478-5108
Entity
Organization
Contact information
Practice address
5911 KILDEER CT, LONG GROVE, IL 60047-5052
(847) 478-5108
Mailing address
5911 KILDEER CT, LONG GROVE, IL 60047-5052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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