LAKE SHORE SURGICAL ASSOCIATES LTD. NPI 1396927398

NPI Information

LAKE SHORE SURGICAL ASSOCIATES, LTD. 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. LAKE SHORE SURGICAL ASSOCIATES, LTD. NPI is 1396927398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 N WABASH AVE STE 1709
CHICAGO, IL
ZIP 60602-989
Phone: (312) 641-1150
Fax: (312) 332-0299

The provider's authorized official is Lawrence Mark Krause .
The authorized official title is President and has the following contact phone number (312) 641-1150.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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