Organization
LICE CLINICS OF AMERICA-NORTH SHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL LESHTZ (OWNER/TECHNICIAN)
(847) 282-4226
Entity
Organization
Contact information
Practice address
400 LAKE COOK RD STE 201, DEERFIELD, IL 60015-4930
(847) 282-4226
Mailing address
400 LAKE COOK RD STE 201, DEERFIELD, IL 60015-4930
(847) 282-4226
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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