Lake Shore Internal Medicine SC
Lake Shore Internal Medicine SC is an Internal Medicine Physician in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
7505 Grand AveGurnee, IL 60031-1551
Phone: (847) 245-8448
Fax: (847) 245-7070
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036059341 (IL) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 03606886 (IL) |
Record details
| NPI number | 1114924552 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paru Sharma — Ceo · (847) 245-8448 |
| Other names | Paru K Sharma |
| NPI enumerated | June 30, 2005 |
| Last updated in NPPES | July 21, 2008 |
| Mailing address | 7505 Grand Ave, Gurnee, IL 60031-1551 |
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