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Organization

ROUND LAKE MEDICAL SUITES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN GOODMAN (OFFICE MANAGER)
(847) 984-6452
Entity
Organization

Contact information

Practice address
2 E ROLLINS RD, SUITE 108, ROUND LAKE BEACH, IL 60073-3808
(847) 546-9455
(847) 247-2840
Mailing address
2 E ROLLINS RD, SUITE 108, ROUND LAKE BEACH, IL 60073-3808
(847) 546-9455
(847) 247-2840

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
42618258
IL

Other

Enumeration date
04/03/2007
Last updated
08/22/2020
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