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LAKE COUNTY INTERNAL MEDICINE ASSOC LLC
NPI 1316434376
Non-Pharmacy Dispensing Site in Gurnee, IL

Active since April 16, 2018
15 TOWER CT., STE 190, GURNEE, IL 60031(888) 590-0808(866) 740-4689 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake County Internal Medicine Assoc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE COUNTY INTERNAL MEDICINE ASSOC LLC (NPI 1316434376) is a healthcare organization registered as a non-pharmacy dispensing site in Gurnee, Illinois and active in the NPI registry since April 2018. The organization lists Mackenzie Hahn, Ncpdp Coordinator, as its authorized official.

NPPES Registry Identity

NPI1316434376
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLAKE COUNTY INTERNAL MEDICINE ASSOC LLC
Location Address15 TOWER CT., STE 190Gurnee, IL 60031
Mailing Address200 Rittenhouse Circle, East Building Ste 5Bristol, PA 19007 · (888) 590-0808 · Fax (866) 740-4689
Phone(888) 590-0808
Fax(866) 740-4689
Organization SubpartNo
Authorized OfficialMackenzie HahnNcpdp Coordinator · (888) 590-0808
Enumeration DateApril 16, 2018
✔ NPI 1316434376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in IL · 036093940
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
15 TOWER CT., Gurnee, IL 60031
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake County Internal Medicine Assoc LLC's NPI number?

The NPI number for Lake County Internal Medicine Assoc LLC is 1316434376. It was assigned to this organization in the NPPES registry on April 16, 2018.

Where is Lake County Internal Medicine Assoc LLC located?

Lake County Internal Medicine Assoc LLC is located at 15 Tower Ct. Ste 190, Gurnee, IL 60031. The listed phone number is (888) 590-0808.

What is Lake County Internal Medicine Assoc LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Lake County Internal Medicine Assoc LLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.