Organization
LAKESHORE PHYSICAL THERAPY, LLC
Active
Parent organization
LAKE COUNTY NEUROSURGERY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE COUNTY NEUROSURGERY, LLC
Authorized official
JONATHAN S CITOW MD (OWNER)
(847) 362-1848
Entity
Organization
Contact information
Practice address
712 S MILWAUKEE AVE, LOWER LEVEL, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-3351
Mailing address
712 S MILWAUKEE AVE, LOWER LEVEL, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-3351
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Enumeration date
06/14/2011
Last updated
06/17/2011
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