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Individual

DR. LAWRENCE J BARTUSEK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 RANDALL RD, DELNOR HOSPITAL, GENEVA, IL 60134-4200
(630) 208-4473
(630) 208-3489
Mailing address
300 RANDALL RD, DELNOR HOSPITAL, GENEVA, IL 60134-4200
(630) 208-4473
(630) 208-3489

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04515197
BLUE SHIELD
IL
Enumeration date
11/07/2005
Last updated
07/08/2007
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