Organization
LAKESHORE HEART & VASCULAR SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIL B DIHU (PRESIDENT)
(847) 336-1600
Entity
Organization
Contact information
Practice address
3915 OGLESBY AVE, GURNEE, IL 60031
(847) 336-1600
Mailing address
3915 OGLESBY AVE, GURNEE, IL 60031-3358
(847) 336-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036124341
IL
Other
Enumeration date
08/12/2014
Last updated
09/07/2018
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