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LAKESHORE PREMIUM HEALTHCARE INC NPI 1730430703


NPI Information

NPI: 1730430703
Provider Name: LAKESHORE PREMIUM HEALTHCARE, INC
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
3000 N HALSTED ST
SUITE 609
CHICAGO, IL
ZIP 60657
Phone: (949) 584-2059
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LAKESHORE PREMIUM HEALTHCARE, INC is a sleep medicine internal medicine in Chicago, IL. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. LAKESHORE PREMIUM HEALTHCARE, INC NPI is 1730430703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3000 N HALSTED ST
SUITE 609
CHICAGO, IL
ZIP 60657-188
Phone: (949) 584-2059
Fax: (949) 679-9174

The provider's authorized official is Julie Thomas .
The authorized official title is Physician and has the following contact phone number (949) 584-2059.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 10/8/2012.


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
12084P0800XPsychiatry & NeurologyPsychiatry036-131263ILLINOISNo
2207RS0012XInternal MedicineSleep Medicine036-131263ILLINOISYes

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

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