Lake Shore Pediatrics, Ltd in Lake Forest - Pediatrics
Lake Shore Pediatrics, Ltd - NPI 1003011628
Lake Shore Pediatrics, Ltd is a Pediatrics in Lake Forest, Illinois. Lake Shore Pediatrics, Ltd practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lake Shore Pediatrics, Ltd is 1003011628. The last update date is 2020-08-22.
Lake Shore Pediatrics, Ltd's current location address is 900 N Westmoreland Rd, Lake Forest, Illinois. You can contact this provider via phone number 8476154654 and fax number 8476151708. The mailing address for Lake Shore Pediatrics, Ltd is 900 N Westmoreland Rd, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Pediatrics, Ltd |
|---|---|
| Address | 900 N Westmoreland Rd, Lake Forest, Illinois |
| Phone Number | 8476154654 |
| Fax Number | 8476151708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Fondriest Wheeler Diane |
| Credentials | MD |
| Telephone Number | 8476154654 |
NPI Number Detail
| NPI Number | 1003011628 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 900 N Westmoreland Rd |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600451674 |
| Phone Number | 8476154654 |
| Fax Number | 8476151708 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36065837 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the Lake Shore Pediatrics, Ltd's 1003011628?
The Lake Shore Pediatrics, Ltd's NPI (National Provider Identifier) Number is 1003011628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Shore Pediatrics, Ltd located?
The Lake Shore Pediatrics, Ltd is located at 900 N Westmoreland Rd, Lake Forest, IL 600451674.
What is Lake Shore Pediatrics, Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake Shore Pediatrics, Ltd is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Lake Shore Pediatrics, Ltd receive the assignment of its 1003011628 from the Centers for Medicare & Medicaid Services?
The Lake Shore Pediatrics, Ltd was issued its 1003011628 by the Centers for Medicare & Medicaid Services on 2007-06-15.
When was the information regarding Lake Shore Pediatrics, Ltd most recently updated?
The details pertaining to the Lake Shore Pediatrics, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.