Organization · Type 2 NPI

Lake Shore Medical Associates Ltd

Medical Specialty Clinic/Center · Chicago, IL

NPI number 1104083070 Active

Practice location

2222 W Division St Ste 116
Chicago, IL 60622-3093

Call (773) 525-7720 Map

Fax (773) 525-9199

Mailing address

2734 N Lincoln Ave
Chicago, IL 60614-1321

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician	207V00000X	None listed
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3 other providers at this address

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About NPI 1104083070

Lake Shore Medical Associates Ltd's National Provider Identifier is 1104083070, issued on May 19, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 3, 2016.