Organization
LAKE FRONT MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MARTIN BERMAN (PRESIDENT)
(773) 478-9008
Entity
Organization
Contact information
Practice address
4151 N KEDZIE AVE, CHICAGO, IL 60618-2409
(773) 478-9008
(773) 478-9717
Mailing address
PO BOX 18447, CHICAGO, IL 60618-0447
(773) 478-9008
(773) 478-9717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/19/2005
Last updated
08/22/2020
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