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Lake Shore Medical Associates, Ltd.
Clinic/Center in Chicago, Illinois
NPI 1093703688

Lake Shore Medical Associates, Ltd. is a Clinic/Center based in Chicago, IL. Lake Shore Medical Associates, Ltd. practices in Chicago, IL. The NPI Number for Lake Shore Medical Associates, Ltd. is 1093703688 and holds a License No. (Illinois).

The current practice location address for Lake Shore Medical Associates, Ltd. is 2222 W Division St Ste 116, Chicago, IL and can be reached out via phone at 773-525-7720 and via fax at 773-525-9199.

Location: 2222 W Division St Ste 116, Chicago, IL, 60614-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093703688
Provider Name
Lake Shore Medical Associates, Ltd.
Credential
Provider Entity Type
Organization
Address
2222 W Division St Ste 116, Chicago, IL, 60614-1321
Phone Number
773-525-7720
Fax Number
773-525-9199
Provider Enumeration Date
10/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D5245-919-2 01 IL IL CORP FILE NUMBER
institution
Provider Business Practice Location Address Details
Address
2222 W Division St Ste 116
City
Chicago
State
Illinois
Zip
60622-3093
Phone Number
773-525-7720
Fax Number
773-525-9199
person
Provider Business Mailing Address Details
Address
2222 W Division St Ste 116
City
Chicago
State
Illinois
Zip
60622-3093
Phone Number
773-525-7720
Fax Number
773-525-9199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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