institution
Lakeshore P.e.t Imaging, Llc.
Medical Specialty Clinic/Center in Oak Lawn, Illinois
NPI 1790870699

Lakeshore P.e.t Imaging, Llc. is a Medical Specialty Clinic/Center based in Oak Lawn, IL and is specialized in Medical Specialty. Lakeshore P.e.t Imaging, Llc. practices in Oak Lawn, IL. The NPI Number for Lakeshore P.e.t Imaging, Llc. is 1790870699 and holds a License No. (Illinois).

The current practice location address for Lakeshore P.e.t Imaging, Llc. is 4932 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-499-9700 and via fax at 708-499-9797.

Location: 4932 W 95Th St, Oak Lawn, IL, 60453-2504
institution
Provider Profile Details
NPI Number
1790870699
Provider Name
Lakeshore P.e.t Imaging, Llc.
Credential
Provider Entity Type
Organization
Address
4932 W 95Th St, Oak Lawn, IL, 60453-2504
Phone Number
708-499-9700
Fax Number
708-499-9797
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01633190 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
4932 W 95Th St
City
State
Zip
60453-2504
Phone Number
708-499-9700
Fax Number
708-499-9797
person
Provider Business Mailing Address Details
Address
4932 W 95Th St
City
State
Zip
60453-2504
Phone Number
708-499-9700
Fax Number
708-499-9797
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
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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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