Organization · Type 2 NPI
Lakeside Nephrology, Ltd.
Specialist · Skokie, IL
NPI number
1386807006
Active
Practice location
9332 Skokie Blvd
Skokie, IL 60077-1309
Fax (847) 581-1768
Mailing address
9801 Woods Dr
Skokie, IL 60077-1074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36097354 (IL) |
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 1386807006
Lakeside Nephrology, Ltd.'s National Provider Identifier is 1386807006, issued on Jul 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Skokie, IL. The record was last updated on Jan 31, 2024.