DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SHORE MEDICAL ASSOCIATES, LTD.

Active Organization

Clinic/Center · CHICAGO, IL

Registration Details

NPI Number
1093703688
Provider Type
Organization
NPI Issued
Oct 8, 2005 (20.539641878331 yrs)
Last Updated
Jun 3, 2016

Practice Information

Address
2222 W DIVISION ST STE 116
CHICAGO, IL, 606223093
Browse IL providers · Browse ZIP 60622
Phone
7735257720
Fax
7735259199
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.