Organization
LAKE FOREST PEDIATRIC ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE MACNAIR (DIRECTOR)
(847) 295-1220
Entity
Organization
Contact information
Practice address
900 N WESTMORELAND RD, SUITE 110, LAKE FOREST, IL 60045-1674
(847) 295-1220
(847) 295-1255
Mailing address
900 N WESTMORELAND RD, SUITE 110, LAKE FOREST, IL 60045-1674
(847) 295-1220
(847) 295-1255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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