Provider Type Icon

BALKRISHNA SUNDAR MD SC NPI 1316049166


NPI Information

NPI: 1316049166
Provider Name: BALKRISHNA SUNDAR MD SC

Doing Business As: LAKESHORE UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
2674 N HALSTED ST
CHICAGO, IL
ZIP 60614
Phone: (773) 868-1800
Get Directions

BALKRISHNA SUNDAR MD SC is an urology in Chicago, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BALKRISHNA SUNDAR MD SC NPI is 1316049166. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeshore Urology.

The provider's business location address is:

2674 N HALSTED ST
CHICAGO, IL
ZIP 60614-361
Phone: (773) 868-1800
Fax: (773) 868-4072

The provider's authorized official is Balakrishna Sundar .
The authorized official title is President and has the following contact phone number (847) 692-6218.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 10/23/2008.


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
1208800000XUrology036053086ILLINOISYes

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
1636261MEDICARE PINILLINOIS
2DH1341OTHERPALMETTO GBA
3791342246OTHERPALMETTO GBA
421609137OTHERBC/BS
5036053086MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.