Organization · Type 2 NPI

Lakeside Medical Group Ltd

Adolescent Medicine (Internal Medicine) Physician · Chicago, IL

NPI number 1790809804 Active

Practice location

1945 W Wilson Ave, Suite 6119
Chicago, IL 60640-5255

Fax (773) 561-5635

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Internal Medicine) Physician Primary 207RA0000XNone listed

Adolescent Medicine (Internal Medicine) Physician: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1790809804

Lakeside Medical Group Ltd's National Provider Identifier is 1790809804, issued on Mar 16, 2007. The primary taxonomy on file is Adolescent Medicine (Internal Medicine) Physician (207RA0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.