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

Lakeside Nephrology, Ltd

Organization Specialist · NPI 1386807006

Lakeside Nephrology, Ltd is a Specialist 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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