South Lake Medical Services, Ltd in Chicago - Adult Day Care
South Lake Medical Services, Ltd - NPI 1407023849
South Lake Medical Services, Ltd is a Adult Day Care in Chicago, Illinois. South Lake Medical Services, Ltd practices all healthcare services and medical treatments related to Adult Day Care. The NPI Number for South Lake Medical Services, Ltd is 1407023849. The last update date is 2008-05-14.
South Lake Medical Services, Ltd's current location address is 2621 E 75th St, Chicago, Illinois. You can contact this provider via phone number 7733751900 and fax number 7733758279. The mailing address for South Lake Medical Services, Ltd is 2621 E 75th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Lake Medical Services, Ltd |
|---|---|
| Address | 2621 E 75th St, Chicago, Illinois |
| Phone Number | 7733751900 |
| Fax Number | 7733758279 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thachenkery C Maria |
| Credentials | M.D |
| Telephone Number | 7733751900 |
NPI Number Detail
| NPI Number | 1407023849 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 2621 E 75th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606493705 |
| Phone Number | 7733751900 |
| Fax Number | 7733758279 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Day Care |
|---|---|
| Taxonomy | 261Qa0600X |
| Licence No | 36049708 |
|
Definition: Provides health, therapeutic and social services to impaired older adults and disabled individuals during daytime hours. |
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What is the South Lake Medical Services, Ltd's unique identification number?
The South Lake Medical Services, Ltd has been assigned the NPI (National Provider Identifier) Number 1407023849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where South Lake Medical Services, Ltd is geographically located?
The South Lake Medical Services, Ltd is physically situated at the following location: 2621 E 75Th St, Chicago, IL, 606493705.
What is South Lake Medical Services, Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Lake Medical Services, Ltd is Adult Day Care, and the taxonomy code that classifies this field of practice is 261Qa0600X.
When was the South Lake Medical Services, Ltd's 1407023849 issued?
The South Lake Medical Services, Ltd's 1407023849 was issued on 2008-05-14.
When was the information regarding South Lake Medical Services, Ltd most recently updated?
The details pertaining to the South Lake Medical Services, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2008-05-14.
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