LAKESIDE NEPHROLOGY LTD. NPI 1588827208

NPI Information

LAKESIDE NEPHROLOGY, 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. LAKESIDE NEPHROLOGY, LTD. NPI is 1588827208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2277 W HOWARD ST
CHICAGO, IL
ZIP 60645-922
Phone: (773) 508-0110
Fax: (773) 508-0074

The provider's authorized official is Patricia Payne .
The authorized official title is Practice Manager and has the following contact phone number (847) 581-0110.

The CLIA number assigned to this NPI record is 14D0427727 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/2/2008 and was last updated on 1/31/2024.

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:

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