Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeside Nephrology, Ltd

Organization Specialist · NPI 1386807006

Lakeside Nephrology, Ltd provides Specialist services in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9332 Skokie Blvd
Skokie, IL 60077-1309
Phone: (847) 581-0110
Fax: (847) 581-1768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36097354 (IL)

Record details

NPI number1386807006
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Nephrology, Ltd
Authorized official Patricia Payne — Practice Manager · (847) 581-0110
NPI enumeratedJuly 2, 2008
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address9801 Woods Dr, Skokie, IL 60077-1074

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