Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake County Pediatrics SC

Organization Pediatrics Physician · NPI 1114102530

Lake County Pediatrics SC is a Pediatrics Physician in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

200 S Greenleaf Ave Ste E
Gurnee, IL 60031
Phone: (847) 336-0770
Fax: (847) 336-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)

Record details

NPI number1114102530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlene Tanquilut — President · (847) 336-0770
NPI enumeratedJanuary 3, 2008
Last updated in NPPESJanuary 3, 2008
Mailing address200 S Greenleaf Ave, Suite E, Gurnee, IL 60031

Other providers in Gurnee