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Organization

LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC

Active
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Organization

LAKEVIEW MEDICAL & PSYCHIATRIC HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL PAUL BEDNARZ MD (OWNER)
(773) 485-3222
Entity
Organization

Contact information

Practice address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000
Mailing address
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455
(309) 575-3222
(309) 404-8000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/11/2016
Last updated
11/06/2018
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