GOLD COAST GYNECOLOGY SURGERY SC
Medical Practice at Lake Shore Dr, Chicago, IL

License number
Illinois 036057210
Category
Medical Practice
Type
Gynecology
Owner
Name: MAUREEN L PENDL
Title: BILLING MANAGER
Phone: (312) 440-1600
Address
Address
680 N Lake Shore Dr SUITE 830, Chicago, IL 60611
National Provider ID: 1669622775
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOLD COAST GYNECOLOGY/SURGERY S.C

Randall M Toig, Chicago, IL 60611

Registration:
Jun 9, 2008
State ID:
66151921
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Lawrence P Brown,4868 Dempster #2E, Skokie, IL 60077 (Physical)

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