Northern Lake Medical, Ltd.

LBN: Northern Lake Medical, Ltd.
Northern Lake Medical, Ltd. is an health care organization with primary practice located at 45 Tower Ct Suite C, Gurnee IL 60031-3376. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Northern Lake Medical, Ltd. can be contacted via phone (847) 623-3200, or through Tucci, Mark via phone (847) 587-0115.

Contact Information

Primary practice address
45 Tower Ct Suite C Gurnee IL 60031-3376
Phone: (847) 623-3200
Fax: (847) 623-9168
Website:
Map and Directions
Authorized official contact:
Name: Tucci, Mark Doctor of Medicine (MD)
Phone: (847) 587-0115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1841247608
LBN Legal business name Northern Lake Medical, Ltd.
DBA Doing business as
Authorized official Tucci, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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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