LAKE SHORE MEDICAL SERVICES NPI 1881766509

NPI Information

NPI: 1881766509
Provider Name: LAKE SHORE MEDICAL SERVICES
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
680 N LAKE SHORE DR
SUITE 115
CHICAGO, IL
ZIP 60611
Phone: (312) 654-5583
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LAKE SHORE MEDICAL SERVICES is a health service clinic center in Chicago, IL. LAKE SHORE MEDICAL SERVICES NPI is 1881766509. The provider is registered as an organization entity type.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 115
CHICAGO, IL
ZIP 60611-546
Phone: (312) 654-5583
Fax: (312) 654-5580

The provider's authorized official is Bonnie E. Wise .
The authorized official title is Director and has the following contact phone number (312) 654-5583.

The enumeration date for this NPI number is 11/15/2006 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
1	261QH0100X	Clinic/Center	Health Service			Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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