Organization
ENT CONSULTANTS OF LAKE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY M WILCOX (OFFICE MANAGER)
(847) 816-1228
Entity
Organization
Contact information
Practice address
755 S MILWAUKEE AVE, STE 181, LIBERTYVILLE, IL 60048-3253
(847) 816-1228
(847) 816-1262
Mailing address
755 S MILWAUKEE AVE, STE 181, LIBERTYVILLE, IL 60048
(847) 816-1228
(847) 816-1262
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
042-002811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039785
—
IL
Enumeration date
09/20/2005
Last updated
10/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us