Lake Shore Medical Services
Lake Shore Medical Services is a Health Service Clinic/Center in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
680 N Lake Shore Dr Ste 115Chicago, IL 60611-4546
Phone: (312) 654-5583
Fax: (312) 654-5580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1881766509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonnie Wise — Director · (312) 654-5583 |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 680 N Lake Shore Dr, Suite 115, Chicago, IL 60611-4546 |
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