OrganizationActive
Lake County Pediatrics Sc
NPI 1114102530 · Pediatrics Physician · Gurnee, IL
Provider details
- NPI number
- 1114102530
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marlene Tanquilut, President(847) 336-0770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 S Greenleaf Ave
Suite E
Gurnee, IL 60031
Phone: (847) 336-0770
Fax: (847) 336-0159
Approximate (ZIP-level) locationGet directions
Mailing address
200 S Greenleaf Ave
Gurnee, IL 60031
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.