Organization
GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
Active
Organization
GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PETER MARON MD (MD)
(925) 225-5837
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
11/30/2023
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