Individual
HOWARD AXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 E BELVIDERE RD STE 185, GRAYSLAKE, IL 60030
(847) 535-6150
Mailing address
680 N. LAKE SHORE DRIVE, CHICAGO, IL 60611-2987
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036084066
IL
Other
Enumeration date
12/01/2005
Last updated
09/04/2018
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