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

LAKESHORE PREMIUM HEALTHCARE, INC

Active Organization

LAKESHORE PREMIUM HEALTHCARE, INC is a Sports Medicine (IM) organization located in CHICAGO, Illinois. NPI 1730430703 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · CHICAGO, IL

Registration Details

NPI Number
1730430703
Provider Type
Organization
NPI Issued
Oct 1, 2012 (13.903379524124 yrs)
Last Updated
Oct 8, 2012
Licenses
036-131263 (IL)
036-131263 (IL)

Practice Information

Address
3000 N HALSTED ST
SUITE 609
CHICAGO, IL, 606575188
Browse IL providers · Browse ZIP 60657
Phone
9495842059
Fax
9496799174
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Organizations in CHICAGO, IL

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.