Organization · Type 2 NPI
Lakeside Medical, Inc.
Specialist · Evanston, IL
NPI number
1144477738
Active
Practice location
1001 Emerson St, Suite 306
Evanston, IL 60201-3147
Mailing address
320 S Calumet Rd
Chesterton, IN 46304-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1144477738
Lakeside Medical, Inc.'s National Provider Identifier is 1144477738, issued on Aug 26, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Aug 26, 2008.