Lakeside Nephrolgoy Ltd/prarie - Chicago, IL

Lakeside Nephrolgoy Ltd/prarie

Specialist in Chicago, Illinois

NPI 1649433376

Lakeside Nephrolgoy Ltd/prarie is a Specialist based in Chicago, IL. Lakeside Nephrolgoy Ltd/prarie practices in Chicago, IL. The NPI Number for Lakeside Nephrolgoy Ltd/prarie is 1649433376 and holds a License No. 36-065928 (Illinois).

The current practice location address for Lakeside Nephrolgoy Ltd/prarie is 1717 S Wabash Ave, Chicago, IL and can be reached out via phone at 312-913-0110 and via fax at 312-913-9154.

Location: 1717 S Wabash Ave, Chicago, IL, 60616-1219

NPI Number

1649433376

Provider Name

Lakeside Nephrolgoy Ltd/prarie

Credential

Provider Entity Type

Organization

Address

1717 S Wabash Ave, Chicago, IL, 60616-1219

Phone Number

312-913-0110

Fax Number

312-913-9154

Provider Enumeration Date

07/02/2008

Last Update Date

03/09/2024

Address

1717 S Wabash Ave

City

Chicago

State

Illinois

Zip

60616-1219

Phone Number

312-913-0110

Fax Number

312-913-9154

Address

1717 S Wabash Ave

City

Chicago

State

Illinois

Zip

60616-1219

Phone Number

312-913-0110

Fax Number

312-913-9154

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

36-065928 (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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