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Lakeside Eye Group, S.c.
Specialist in Chicago, Illinois
NPI 1497954820

Lakeside Eye Group, S.c. is a Specialist based in Chicago, IL. Lakeside Eye Group, S.c. practices in Chicago, IL. The NPI Number for Lakeside Eye Group, S.c. is 1497954820 and holds a License No. 042007938 (Illinois).

The current practice location address for Lakeside Eye Group, S.c. is 180 N Michigan Ave, Chicago, IL and can be reached out via phone at 312-553-1818 and via fax at 312-641-5503.

Location: 180 N Michigan Ave, Chicago, IL, 60601-7401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497954820
Provider Name
Lakeside Eye Group, S.c.
Credential
Provider Entity Type
Organization
Address
180 N Michigan Ave, Chicago, IL, 60601-7401
Phone Number
312-553-1818
Fax Number
312-641-5503
Provider Enumeration Date
07/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
369060 01 IL GROUP NUMBER FOR MEDICARE
31601613 01 IL BLUE CROSS BLUE SHIELD OF
036102488 05 IL
institution
Provider Business Practice Location Address Details
Address
180 N Michigan Ave
City
Chicago
State
Illinois
Zip
60601-7401
Phone Number
312-553-1818
Fax Number
312-641-5503
person
Provider Business Mailing Address Details
Address
180 N Michigan Ave
City
Chicago
State
Illinois
Zip
60601-7401
Phone Number
312-553-1818
Fax Number
312-641-5503
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
042007938 (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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