Organization
AMERICAN CENTER FOR SPINE & NEUROSURGERY LLC
Active
Other names
Lake County Neurosurgery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S CITOW (OWNER)
(847) 362-1848
Entity
Organization
Contact information
Practice address
716 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3225
(847) 362-1848
(847) 362-3351
Mailing address
716 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3225
(847) 362-1848
(847) 362-3351
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
IL
Other
Enumeration date
11/07/2005
Last updated
07/21/2024
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