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Search › Illinois › 207N00000X

Eden Lake, M.D

NPI 1578904892 · on the registry since 2013 · sole proprietor

Practice

Address
321 N La Grange Rd
La Grange Park, IL 60526
Phone
(708) 485-1271
Organisation at this address
Pillars Community Health
Pillars Community Health
Pillars Community Health
Pillars Community Health
Pillars Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois