LAKESHORE CANCER CARELTD NPI 1689706111

NPI Information

LAKESHORE CANCER CARE,LTD is a radiation oncology radiology in Chicago, IL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. LAKESHORE CANCER CARE,LTD NPI is 1689706111. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5020 N ASHLAND AVE
CHICAGO, IL
ZIP 60640-880
Phone: (773) 506-0900
Fax: (773) 506-0909

The provider's authorized official is Nam E Kim .
The authorized official title is President and has the following contact phone number (847) 501-3927.

The CLIA number assigned to this NPI record is 14D0427142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2007 and was last updated on 12/10/2007.

Taxonomy Codes

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