Lakeshore Urology

LBN: Balkrishna Sundar Md Sc
Lakeshore Urology is an health care organization with primary practice located at 2674 N Halsted St , Chicago IL 60614-2361. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Balkrishna Sundar Md Sc can be contacted via phone (773) 868-1800, or through Sundar, Balakrishna via phone (847) 692-6218.

Contact Information

Primary practice address
2674 N Halsted St Chicago IL 60614-2361
Phone: (773) 868-1800
Fax: (773) 868-4072
Website:
Map and Directions
Authorized official contact:
Name: Sundar, Balakrishna Doctor of Medicine (MD)
Phone: (847) 692-6218

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036053086 Illinois

Profile Details

NPI number 1316049166
LBN Legal business name Balkrishna Sundar Md Sc
DBA Doing business as Lakeshore Urology
Authorized official Sundar, Balakrishna Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316049166 NPPES
Illinois MEDICAID 036053086
Illinois Other 791342246
Illinois Other 21609137
Illinois Other DH1341

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