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Organization

LAKE SHORE PATHOLOGISTS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIMANI D. DALIA M.D. (CHAIR)
(847) 360-3000
Entity
Organization

Contact information

Practice address
1324 N SHERIDAN RD, VISTA MEDICAL CENTER EAST, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
520 E. 22ND STREET, LOMBARD, IL 60148
(630) 874-2542

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
07/19/2005
Last updated
11/27/2007
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