Organization
LAKE HEART SPECIALISTS
Active
Other names
Drs. Jajeh & Koch SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAHD JAJEH MD (PRESIDENT)
(847) 360-8440
Entity
Organization
Contact information
Practice address
35 TOWER CT, SUITE F, GURNEE, IL 60031-5712
(847) 360-8440
(847) 360-8468
Mailing address
35 TOWER CT, SUITE F, GURNEE, IL 60031-5712
(847) 360-8440
(847) 360-8468
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/19/2005
Last updated
07/16/2010
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