Organization · Type 2 NPI

Lakeside Nephrolgoy Ltd/prarie

Specialist · Chicago, IL

NPI number 1649433376 Active

Practice location

1717 S Wabash Ave
Chicago, IL 60616-1219

Call (312) 913-0110 Map

Fax (312) 913-9154

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36-065928 (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 1649433376

Lakeside Nephrolgoy Ltd/prarie's National Provider Identifier is 1649433376, issued on Jul 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 2, 2008.