| Lgm,llc | |
|
1625 Sheridan Rd Wilmette IL 60091-1824 | |
| (847) 853-8100 | |
| (847) 853-8114 |
| Full Name | Lgm,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1625 Sheridan Rd, Wilmette, Illinois |
| Authorized Official Name and Position | Anne E Niedenthal (PRESIDENT) |
| Authorized Official Contact | 8478538100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgm,llc 1625 Sheridan Rd Wilmette IL 60091-1824 Ph: (847) 853-8100 | Lgm,llc 1625 Sheridan Rd Wilmette IL 60091-1824 Ph: (847) 853-8100 |
| NPI Number | 1528255213 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 07/11/2008 |
| Medicare PECOS PAC ID | 8022184076 |
|---|---|
| Medicare Enrollment ID | O20080827000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528255213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anne E Niedenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215043674 PECOS PAC ID: 3577636364 Enrollment ID: I20080728000282 |
| Provider Name | Thomas F Zatorski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124134580 PECOS PAC ID: 2567538515 Enrollment ID: I20080827000720 |
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