ProviderBusinessMailingAddressFaxNumber = '3128096501'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1295945335
LAKESHORE ANESTHESIA LTD
1165 N CLARK ST STE 700
CHICAGO
IL
606102821
1760596886
ROCK
MICHAEL
H
1165 N CLARK ST
CHICAGO
IL
606102702
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