Lakeside Nephrolgoy LTD/Prarie
Lakeside Nephrolgoy LTD/Prarie is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1717 S Wabash AveChicago, IL 60616-1219
Phone: (312) 913-0110
Fax: (312) 913-9154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 36-065928 (IL) |
|---|
Record details
| NPI number | 1649433376 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lakeside Nephrology LTD/LOOP |
| Authorized official | Sheldon Hirsch — Partner · (312) 913-0110 |
| NPI enumerated | July 2, 2008 |
| Last updated in NPPES | July 2, 2008 |
| Mailing address | 1717 S Wabash Ave, Chicago, IL 60616-1219 |
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