Lake Shore Medical Services in Chicago - Health Service
Lake Shore Medical Services - NPI 1881766509
Lake Shore Medical Services is a Health Service in Chicago, Illinois. Lake Shore Medical Services practices all healthcare services and medical treatments related to Health Service. The NPI Number for Lake Shore Medical Services is 1881766509. The last update date is 2020-08-22.
Lake Shore Medical Services's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126545583 and fax number 3126545580. The mailing address for Lake Shore Medical Services is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Medical Services |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3126545583 |
| Fax Number | 3126545580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Wise E. Bonnie |
| Credentials | M.D. |
| Telephone Number | 3126545583 |
NPI Number Detail
| NPI Number | 1881766509 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3126545583 |
| Fax Number | 3126545580 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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What is the unique identification code assigned to Lake Shore Medical Services by the Centers for Medicare & Medicaid Services?
The Lake Shore Medical Services has been issued the NPI (National Provider Identifier) 1881766509. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Shore Medical Services is physically located?
The Lake Shore Medical Services is physically situated at the following address: 680 N Lake Shore Dr, Chicago, IL, 606114546.
What is Lake Shore Medical Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Shore Medical Services is Health Service, and the taxonomy code that categorizes this field of expertise is 261Qh0100X.
On what date did the Lake Shore Medical Services receive its 1881766509 assignment from the Centers for Medicare & Medicaid Services?
The Lake Shore Medical Services was assigned its 1881766509 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details related to Lake Shore Medical Services most recently updated or revised?
The information pertaining to Lake Shore Medical Services, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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