Organization
LAKE COUNTY PHYSICIANS ASSOCIATION
Active
Other names
Saint Therese Physicians Association
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LIBERATORE (DIRECTOR)
(847) 360-2445
Entity
Organization
Contact information
Practice address
2615 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 360-2475
(847) 625-6225
Mailing address
2615 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 360-2475
(847) 625-6225
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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