Ec Physician And Wound Specialist Llc | |
1000 N Westmoreland Rd Lake Forest IL 60045 | |
(847) 535-7600 | |
Not Available |
Full Name | Ec Physician And Wound Specialist Llc |
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Speciality | Internal Medicine |
Location | 1000 N Westmoreland Rd, Lake Forest, Illinois |
Authorized Official Name and Position | Elisabeth Kerns Cormier (PHYSICIAN) |
Authorized Official Contact | 8479980862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ec Physician And Wound Specialist Llc 625 Glendale Dr Glenview IL 60025-4412 Ph: (847) 998-0862 | Ec Physician And Wound Specialist Llc 1000 N Westmoreland Rd Lake Forest IL 60045 Ph: (847) 535-7600 |
NPI Number | 1689165490 |
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Provider Enumeration Date | 05/29/2018 |
Last Update Date | 08/14/2018 |
Identifier | Type | State | Issuer |
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1689165490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036076935 (Illinois) | Primary |
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