LAKE SHORE MEDICAL ASSOCIATES LTD NPI 1104083070

NPI Information

LAKE SHORE MEDICAL ASSOCIATES LTD is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAKE SHORE MEDICAL ASSOCIATES LTD NPI is 1104083070. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vijayalakshmi Arekapudi Md.

The provider's business location address is:

2222 W DIVISION ST STE 116
CHICAGO, IL
ZIP 60622-093
Phone: (773) 525-7720
Fax: (773) 525-9199

The provider's authorized official is Vijayalakshmi Arekapudi .
The authorized official title is President and has the following contact phone number (773) 525-7720.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 6/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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