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Organization

LAKE FOREST PEDIATRIC ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M MACNAIR (DIRECTOR)
(847) 295-1220
Entity
Organization

Contact information

Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255
Mailing address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/06/2007
Last updated
11/04/2013
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