Lake Shore Medical Associates, Ltd.

LBN: Lake Shore Medical Associates, Ltd.
Lake Shore Medical Associates, Ltd. is an health care organization with primary practice located at 2222 W Division St Ste 116 , Chicago IL 60622-3093. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Lake Shore Medical Associates, Ltd. can be contacted via phone (773) 525-7720, or through Arekapudi, Vijayalakshmi via phone (773) 525-7720.

Contact Information

Primary practice address
2222 W Division St Ste 116 Chicago IL 60622-3093
Phone: (773) 525-7720
Fax: (773) 525-9199
Website:
Map and Directions
Authorized official contact:
Name: Arekapudi, Vijayalakshmi Doctor of Medicine (MD)
Phone: (773) 525-7720

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1093703688
LBN Legal business name Lake Shore Medical Associates, Ltd.
DBA Doing business as
Authorized official Arekapudi, Vijayalakshmi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2005
Last updated Jun 3rd, 2016 - about 8 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 1093703688 NPPES
Illinois Other D5245-919-2 IL CORP FILE NUMBER

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