Individual
DR. ROGER ALAN LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11650 SOUTH ROUTE 47, HUNTLEY, IL 60142
(815) 338-6600
Mailing address
4201 W MEDICAL CENTER DR, ATTN: E. PETERS MOB B107, MCHENRY, IL 60050-8409
(815) 759-8147
(815) 759-8154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-052927
IL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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