Lakeside Eye Group, S.C. in Chicago - Specialist
Lakeside Eye Group, S.C. - NPI 1497954820
Lakeside Eye Group, S.C. is a Specialist in Chicago, Illinois. Lakeside Eye Group, S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lakeside Eye Group, S.C. is 1497954820. The last update date is 2013-07-22.
Lakeside Eye Group, S.C.'s current location address is 180 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3125531818 and fax number 3126415503. The mailing address for Lakeside Eye Group, S.C. is 180 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Eye Group, S.C. |
|---|---|
| Address | 180 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3125531818 |
| Fax Number | 3126415503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPHTHALMOL |
|---|---|
| Authorized Official Name | Rao N Sanjay |
| Credentials | MD |
| Telephone Number | 3125531818 |
NPI Number Detail
| NPI Number | 1497954820 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2013-07-22 |
Provider Mailing Address Detail
| Address | 180 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606017401 |
| Phone Number | 3125531818 |
| Fax Number | 3126415503 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 42007938 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 369060 | IL | GROUP NUMBER FOR MEDICARE | |
| 31601613 | IL | BLUE CROSS BLUE SHIELD OF | |
| 36102488 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lakeside Eye Group, S.C. by the Centers for Medicare & Medicaid Services?
The Lakeside Eye Group, S.C. has been assigned the NPI (National Provider Identifier) 1497954820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lakeside Eye Group, S.C. is physically located?
The Lakeside Eye Group, S.C. is physically situated at the following address: 180 N Michigan Ave, Chicago, IL, 606017401.
What is the area of specialization for Lakeside Eye Group, S.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakeside Eye Group, S.C. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Lakeside Eye Group, S.C. receive its 1497954820 assignment from the Centers for Medicare & Medicaid Services?
The Lakeside Eye Group, S.C. was assigned its 1497954820 by the Centers for Medicare & Medicaid Services on 2007-07-16.
As of what date were the details related to Lakeside Eye Group, S.C. most recently updated or revised?
The information pertaining to Lakeside Eye Group, S.C., including its address, specialty, and other relevant details, was last updated or revised on 2013-07-22.