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

Lakeshore Premium Healthcare, Inc

Organization Sleep Medicine (Internal Medicine) Physician · NPI 1730430703

Lakeshore Premium Healthcare, Inc is a Sleep Medicine (Internal Medicine) Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 N Halsted St Ste 609
Chicago, IL 60657-5188
Phone: (949) 584-2059
Fax: (949) 679-9174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 036-131263 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036-131263 (IL)

Record details

NPI number1730430703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Thomas — Physician · (949) 584-2059
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 8, 2012
Mailing address3000 N Halsted St, Suite 609, Chicago, IL 60657-5188

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