Organization
LAKE BARRINGTON WOMEN'S HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J MEYER M.D. (SENIOR PARTNER)
(847) 382-7330
Entity
Organization
Contact information
Practice address
2298 COUNTY LINE RD, ALGONQUIN, IL 60102-2561
(847) 854-8542
(847) 854-2909
Mailing address
2298 COUNTY LINE RD, ALGONQUIN, IL 60102-2561
(847) 854-8542
(847) 854-2909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036064210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900984
BLUE CROSS BLUE SHIELD
IL
01
—
CL2981
RR MEDICARE
IL
Enumeration date
04/17/2006
Last updated
06/05/2008
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