Great Lakes Emergency Physicians Medical Group SC
Great Lakes Emergency Physicians Medical Group SC is an Emergency Medicine Physician in Chicago, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
7531 S Stony Island AveChicago, IL 60649-3954
Phone: (773) 947-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X |
|---|
Record details
| NPI number | 1689212581 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Maron — Md · (925) 225-5837 |
| NPI enumerated | December 11, 2019 |
| Last updated in NPPES | November 30, 2023 |
| Certification date | November 30, 2023 |
| Mailing address | 4535 Dressler Rd Nw, Canton, OH 44718-2545 |
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