Organization
LAKEFRONT EMERGENCY PHYSICIANS MEDICAL GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P MARON MD (OWNER)
(925) 225-5837
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(877) 346-2211
Mailing address
PO BOX 4174, SAN DIMAS, CA 91773-8174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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