Lakeside Medical Group Ltd
Lakeside Medical Group Ltd is an Adolescent Medicine (Internal Medicine) Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1945 W Wilson Ave Ste 6119Chicago, IL 60640-5255
Phone: (773) 561-5020
Fax: (773) 561-5635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0000X (IL) |
|---|
Record details
| NPI number | 1790809804 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Javed Nazir — President · (773) 561-5020 |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1945 W Wilson Ave, Suite 6119, Chicago, IL 60640-5255 |
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