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Lake Shore Surgical Associates, Ltd.
Specialist in Chicago, Illinois
NPI 1396927398

Lake Shore Surgical Associates, Ltd. is a Specialist based in Highland Park, IL. Lake Shore Surgical Associates, Ltd. practices in Chicago, IL. The NPI Number for Lake Shore Surgical Associates, Ltd. is 1396927398 and holds a License No. 036060787 (Illinois).

The current practice location address for Lake Shore Surgical Associates, Ltd. is 111 N Wabash Ave Ste 1709, Chicago, IL and can be reached out via phone at 312-641-1150 and via fax at 312-332-0299.

Location: 111 N Wabash Ave Ste 1709, Chicago, IL, 60035-7460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396927398
Provider Name
Lake Shore Surgical Associates, Ltd.
Credential
Provider Entity Type
Organization
Address
111 N Wabash Ave Ste 1709, Chicago, IL, 60035-7460
Phone Number
312-641-1150
Fax Number
312-332-0299
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 N Wabash Ave Ste 1709
City
Chicago
State
Illinois
Zip
60602-2989
Phone Number
312-641-1150
Fax Number
312-332-0299
person
Provider Business Mailing Address Details
Address
111 N Wabash Ave Ste 1709
City
Chicago
State
Illinois
Zip
60602-2989
Phone Number
312-641-1150
Fax Number
312-332-0299
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036060787 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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