Lake Shore Internal Medicine Sc in Gurnee - Internal Medicine
Lake Shore Internal Medicine Sc - NPI 1114924552
Lake Shore Internal Medicine Sc is a Internal Medicine in Gurnee, Illinois. Lake Shore Internal Medicine Sc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lake Shore Internal Medicine Sc is 1114924552. The last update date is 2008-07-21.
Lake Shore Internal Medicine Sc's current location address is 7505 Grand Ave, Gurnee, Illinois. You can contact this provider via phone number 8472458448 and fax number 8472457070. The mailing address for Lake Shore Internal Medicine Sc is 7505 Grand Ave, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Internal Medicine Sc |
|---|---|
| Address | 7505 Grand Ave, Gurnee, Illinois |
| Phone Number | 8472458448 |
| Fax Number | 8472457070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Sharma K Paru |
| Credentials | MD |
| Telephone Number | 8472458448 |
NPI Number Detail
| NPI Number | 1114924552 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 7505 Grand Ave |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600311551 |
| Phone Number | 8472458448 |
| Fax Number | 8472457070 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 3606886 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lake Shore Internal Medicine Sc by the Centers for Medicare & Medicaid Services?
The Lake Shore Internal Medicine Sc has been issued the NPI (National Provider Identifier) 1114924552 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lake Shore Internal Medicine Sc is physically located?
The Lake Shore Internal Medicine Sc is physically situated at the following address: 7505 Grand Ave, Gurnee, IL, 600311551.
What is the Lake Shore Internal Medicine Sc's specialty and taxonomy code?
The Lake Shore Internal Medicine Sc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114924552 to Lake Shore Internal Medicine Sc?
The Centers for Medicare & Medicaid Services assigned the 1114924552 to Lake Shore Internal Medicine Sc on 2005-06-30.
As of what date was the information regarding Lake Shore Internal Medicine Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Shore Internal Medicine Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-21.