Organization
LAKE COUNTY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY B ANDROS (MANAGER)
(847) 990-1141
Entity
Organization
Contact information
Practice address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
Mailing address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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