Ent Consultants Of Lake County

LBN: Ent Consultants Of Lake County
Ent Consultants Of Lake County is an health care organization with primary practice located at 755 S Milwaukee Ave Ste 181, Libertyville IL 60048-3253. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ent Consultants Of Lake County can be contacted via phone (847) 816-1228, or through Wilcox, Stacey M via phone (847) 816-1228.

Contact Information

Primary practice address
755 S Milwaukee Ave Ste 181 Libertyville IL 60048-3253
Phone: (847) 816-1228
Fax: (847) 816-1262
Website:
Map and Directions
Authorized official contact:
Name: Wilcox, Stacey M
Phone: (847) 816-1228

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 042-002811 Illinois

Profile Details

NPI number 1811982408
LBN Legal business name Ent Consultants Of Lake County
DBA Doing business as
Authorized official Wilcox, Stacey M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811982408 NPPES
Illinois MEDICAID 036039785

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