Organization
LAKE COUNTY VEIN SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GRAY (MD)
(630) 928-5234
Entity
Organization
Contact information
Practice address
1425 N HUNT CLUB RD, SUITE 202, GURNEE, IL 60031-2632
(630) 928-5234
Mailing address
1425 N HUNT CLUB RD, SUITE 202, GURNEE, IL 60031-2632
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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