Organization
LAKE SHORE GASTROENTEROLOGY
Active
Organization
LAKE SHORE GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED B ROSENBERG MD (PRESIDENT)
(847) 244-2960
Entity
Organization
Contact information
Practice address
806 CENTRAL AVE, SUITE 202, HIGHLAND PARK, IL 60035-5613
(847) 433-9840
(847) 433-9842
Mailing address
20 TOWER CT, SUITE C, GURNEE, IL 60031-5711
(847) 244-2960
(847) 244-2986
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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