Organization
VCFE OF LAKE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYAN MD (PRESIDENT)
(847) 856-2534
Entity
Organization
Contact information
Practice address
1445 N HUNT CLUB RD, SUITE 103, GURNEE, IL 60031-2603
(847) 856-2534
(847) 856-2534
Mailing address
1445 N HUNT CLUB RD, SUITE 103, GURNEE, IL 60031-2603
(847) 856-2534
(847) 856-2534
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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