Organization
LAKE COUNTY NEUROLOGICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEESOOLAL CHHABRIA MD (PRESIDENT)
(847) 249-3100
Entity
Organization
Contact information
Practice address
1616 GRAND AVE, SUITE # 103, WAUKEGAN, IL 60085-3600
(847) 249-3100
(847) 249-3199
Mailing address
1616 GRAND AVE, SUITE # 103, WAUKEGAN, IL 60085-3600
(847) 249-3100
(847) 249-3199
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052849
—
IL
Enumeration date
09/06/2005
Last updated
12/09/2021
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