Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aurora Chicago Lakeshore Hospital LLC

Organization Child & Adolescent Psychiatry Physician · NPI 1902130339

Aurora Chicago Lakeshore Hospital LLC is a Child & Adolescent Psychiatry Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4840 N Marine Dr
Chicago, IL 60640-7860
Phone: (773) 878-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 036109024 (IL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036113400 (IL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036111615 (IL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036118379 (IL)

Record details

NPI number1902130339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phyllis Remer — Billing Mgr · (847) 433-0057
NPI enumeratedOctober 2, 2009
Last updated in NPPESNovember 23, 2009
Mailing address4840 N Marine Dr, Chicago, IL 60640-7860

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