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LAKESHORE SURGERY CENTER NPI 1881863637


NPI Information

NPI: 1881863637
Provider Name: LAKESHORE SURGERY CENTER

Doing Business As: LAKESHORE LAPAROSCOPIC BARIATRIC CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D1039461

Address:
7200 N WESTERN AVE
CHICAGO, IL
ZIP 60645
Phone: (773) 761-6900
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LAKESHORE SURGERY CENTER is an ambulatory surgical clinic center in Chicago, IL. LAKESHORE SURGERY CENTER NPI is 1881863637. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeshore Laparoscopic Bariatric Center.

The provider's business location address is:

7200 N WESTERN AVE
CHICAGO, IL
ZIP 60645-812
Phone: (773) 761-6900

The provider's authorized official is Raghu Nayak .
The authorized official title is President and has the following contact phone number (773) 761-6900.

The CLIA number assigned to this NPI record is 14D1039461 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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