| Northern Lake Medical, Ltd. | |
|
45 Tower Ct Suite C Gurnee IL 60031-3376 | |
| (847) 623-3200 | |
| (847) 623-9168 |
| Full Name | Northern Lake Medical, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Tower Ct, Gurnee, Illinois |
| Authorized Official Name and Position | Mark Tucci (PRESIDENT) |
| Authorized Official Contact | 8475870115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lake Medical, Ltd. 45 Tower Ct Suite C Gurnee IL 60031-3376 Ph: (847) 623-3200 | Northern Lake Medical, Ltd. 45 Tower Ct Suite C Gurnee IL 60031-3376 Ph: (847) 623-3200 |
| NPI Number | 1841247608 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841247608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Hosep H Deyrmenjian, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6440 Grand Ave, Suite 205, Gurnee, IL 60031 Phone: 847-855-3150 Fax: 847-855-3143 | |
Wai Chee Cheung-o'carroll, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-855-0100 Fax: 847-855-0101 | |
Paru K Sharma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-245-8448 Fax: 847-245-7070 | |
Chicago Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-596-4521 | |
Gurnee Stone Medical Center P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-856-7615 | |
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