Lake Immediate Care & Clinic S C
Lake Immediate Care & Clinic S C is a Family Medicine Physician in Island Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
452 W State Rd Ste DIsland Lake, IL 60042-8438
Phone: (847) 519-1061
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036107391 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036113328 (IL) |
Record details
| NPI number | 1114208642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eberechukwu Ibe — President · (708) 606-7219 |
| NPI enumerated | August 29, 2011 |
| Last updated in NPPES | October 27, 2011 |
| Mailing address | 452 W State Rd Ste D, Island Lake, IL 60042-8438 |