LAKE FOREST PEDIATRIC ASSOCIATES LTD NPI 1316984107

NPI Information

  • NPI: 1316984107
  • Provider Name: LAKE FOREST PEDIATRIC ASSOCIATES, LTD
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D0412981
  • Address: 900 N WESTMORELAND RD
    SUITE 110
    LAKE FOREST, IL
    ZIP 60045
  • Phone: (847) 295-1220

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NPI Details

LAKE FOREST PEDIATRIC ASSOCIATES, LTD is a clinic center in Lake Forest, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAKE FOREST PEDIATRIC ASSOCIATES, LTD NPI is 1316984107. The provider is registered as an organization entity type.

The provider's business location address is:

900 N WESTMORELAND RD
SUITE 110
LAKE FOREST, IL
ZIP 60045-674
Phone: (847) 295-1220
Fax: (847) 295-1255

The provider's authorized official is Lisa Marie Macnair .
The authorized official title is Director and has the following contact phone number (847) 295-1220.

The CLIA number assigned to this NPI record is 14D0412981 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

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