LAKESHORE OBSTETRICS AND GYNECOLOGY LLC NPI 1588651319

NPI Information

LAKESHORE OBSTETRICS AND GYNECOLOGY LLC is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKESHORE OBSTETRICS AND GYNECOLOGY LLC NPI is 1588651319. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lake Shore Ob Gyn, Llc.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 824
CHICAGO, IL
ZIP 60611-546
Phone: (312) 943-3300
Fax: (312) 266-4591

The provider's authorized official is Julie Barton .
The authorized official title is Physician and has the following contact phone number (312) 943-3300.

The CLIA number assigned to this NPI record is 14D0913003 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2005 and was last updated on 12/29/2015.

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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