Organization
DEERFIELD HEALTHWORKS S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LAKEMAKER DO (DO)
(847) 590-1500
Entity
Organization
Contact information
Practice address
2525 WAUKEGAN RD, BANNOCKBURN, IL 60015-5514
(847) 940-3800
Mailing address
2525 WAUKEGAN RD, BANNOCKBURN, IL 60015-5514
(847) 940-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036089110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089110
—
IL
Enumeration date
11/12/2007
Last updated
04/08/2011
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