Organization
LAKE COUNTY MEDICAL GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA NEYMAN M.D. (PRESIDENT)
(847) 566-0300
Entity
Organization
Contact information
Practice address
157 N SEYMOUR AVE, MUNDELEIN, IL 60060-2304
(847) 566-0300
(847) 566-2818
Mailing address
157 N SEYMOUR AVE, MUNDELEIN, IL 60060-2304
(847) 566-0300
(847) 566-2818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/12/2005
Last updated
06/18/2010
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