LAKE SHORE RETINA, S. C. is an ophthalmologic surgery clinic center in Chicago, IL. LAKE SHORE RETINA, S. C. NPI is 1255564258. The provider is registered as an organization entity type.
The provider's business location address is:
850 W IRVING PARK RD
CHICAGO, IL
ZIP 60613-077
Phone: (773) 677-2962
The provider's authorized official is Srilakshmi Maguluri .
The authorized official title is Owner and has the following contact phone number (773) 677-2962.
The CLIA number assigned to this NPI record is 14D2067400 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/25/2009 and was last updated on 8/25/2009.