Organization
LAND MEDICAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER A LAND MD (MD)
(847) 692-6218
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4425
(773) 521-0223
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4425
(773) 521-0223
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0361047611
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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