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LAKESHORE PULMONARY ASSOCIATES LLC NPI 1154456333


NPI Information

NPI: 1154456333
Provider Name: LAKESHORE PULMONARY ASSOCIATES, LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2555 S KING DR
2ND FLOOR
CHICAGO, IL
ZIP 60616
Phone: (312) 674-4005
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LAKESHORE PULMONARY ASSOCIATES, LLC is a pulmonary disease internal medicine in Chicago, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LAKESHORE PULMONARY ASSOCIATES, LLC NPI is 1154456333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2555 S KING DR
2ND FLOOR
CHICAGO, IL
ZIP 60616-419
Phone: (312) 674-4005
Fax: (312) 674-4001

The provider's authorized official is Glenn Beard .
The authorized official title is Member and has the following contact phone number (312) 850-1990.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/28/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease036059554ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036059554MEDICAIDILLINOIS
2L74626MEDICARE PINILLINOIS
3E33406MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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