RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES LLC NPI 1205301926

NPI Information

NPI: 1205301926
Provider Name: RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC

Doing Business As: CHICAGO HEALTH MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4646 N MARINE DR
CHICAGO, IL
ZIP 60640
Phone: (773) 878-8700
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RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC NPI is 1205301926. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chicago Health Medical Group.

The provider's business location address is:

4646 N MARINE DR
CHICAGO, IL
ZIP 60640-759
Phone: (773) 878-8700

The provider's authorized official is Manoj R Prasad .
The authorized official title is Ceo and has the following contact phone number (708) 763-6700.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 12/22/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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: 5/5/2024

NPI Synchronization or Removal

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