Organization
FAMILY CARE OF LAKE COUNTY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE POMERANETS MD (OWNER/MD)
(847) 245-8700
Entity
Organization
Contact information
Practice address
500 PARK AVE, STE 104, LAKE VILLA, IL 60046-6556
(847) 245-8700
(847) 245-8771
Mailing address
500 PARK AVE, STE 104, LAKE VILLA, IL 60046-6556
(847) 245-8700
(847) 245-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/26/2005
Last updated
12/23/2021
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