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Organization

PRIME HEALTHCARE GI - LAKESHORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization

Contact information

Practice address
150 N RIVER RD STE 215, DES PLAINES, IL 60016-1297
(847) 787-1099
Mailing address
150 N RIVER RD STE 215, DES PLAINES, IL 60016-1297
(847) 787-1099

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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