Lake Shore Adult & Geriatric Medicine, Ltd in Chicago - Family Medicine
Lake Shore Adult & Geriatric Medicine, Ltd - NPI 1326056276
Lake Shore Adult & Geriatric Medicine, Ltd is a Family Medicine in Chicago, Illinois. Lake Shore Adult & Geriatric Medicine, Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lake Shore Adult & Geriatric Medicine, Ltd is 1326056276. The last update date is 2010-04-09.
Lake Shore Adult & Geriatric Medicine, Ltd's current location address is 150 E Huron Street, Chicago, Illinois. You can contact this provider via phone number 3126496565 and fax number 3126499842. The mailing address for Lake Shore Adult & Geriatric Medicine, Ltd is 150 E Huron Street, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Adult & Geriatric Medicine, Ltd |
|---|---|
| Address | 150 E Huron Street, Chicago, Illinois |
| Phone Number | 3126496565 |
| Fax Number | 3126499842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vexelman Mark |
| Credentials | MD |
| Telephone Number | 3126496565 |
NPI Number Detail
| NPI Number | 1326056276 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2010-04-09 |
Provider Mailing Address Detail
| Address | 150 E Huron Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112912 |
| Phone Number | 3126496565 |
| Fax Number | 3126499842 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36095873 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Lake Shore Adult & Geriatric Medicine, Ltd by the Centers for Medicare & Medicaid Services?
The Lake Shore Adult & Geriatric Medicine, Ltd has been issued the NPI (National Provider Identifier) 1326056276. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Shore Adult & Geriatric Medicine, Ltd located?
The Lake Shore Adult & Geriatric Medicine, Ltd is located at 150 E Huron Street, Chicago, IL 606112912.
What is Lake Shore Adult & Geriatric Medicine, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Shore Adult & Geriatric Medicine, Ltd's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Lake Shore Adult & Geriatric Medicine, Ltd receive its 1326056276 assignment from the Centers for Medicare & Medicaid Services?
The Lake Shore Adult & Geriatric Medicine, Ltd was assigned its 1326056276 on 2006-08-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lake Shore Adult & Geriatric Medicine, Ltd last refreshed?
The information related to the Lake Shore Adult & Geriatric Medicine, Ltd, including its address, specialty, and other relevant details, was last updated on 2010-04-09.