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Lake Shore Medical Associates Ltd
Medical Specialty Clinic/Center in Chicago, Illinois
NPI 1104083070

Lake Shore Medical Associates Ltd is a Medical Specialty Clinic/Center based in Chicago, IL and is specialized in Medical Specialty. Lake Shore Medical Associates Ltd practices in Chicago, IL. The NPI Number for Lake Shore Medical Associates Ltd is 1104083070 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
1104083070
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
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D 5245-919-2 01 IL CORPORATION FILE# ILLINOIS
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
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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