Lake Shore Gastroenterology
Lake Shore Gastroenterology is a Gastroenterology Physician in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
800 Austin St Ste 403 West TowerEvanston, IL 60202-3439
Phone: (847) 491-9020
Fax: (847) 491-0182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X (IL) |
|---|
Record details
| NPI number | 1588780894 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Glaws — President · (847) 244-2960 |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | August 27, 2007 |
| Mailing address | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 |
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