Lake Shore Pediatrics, Ltd

LBN: Lake Shore Pediatrics, Ltd
Lake Shore Pediatrics, Ltd is an health care organization with primary practice located at 900 N Westmoreland Rd Suite 106, Lake Forest IL 60045-1674. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lake Shore Pediatrics, Ltd can be contacted via phone (847) 615-4654, or through Fondriest, Diane Wheeler via phone (847) 615-4654.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 106 Lake Forest IL 60045-1674
Phone: (847) 615-4654
Fax: (847) 615-1708
Website:
Map and Directions
Authorized official contact:
Name: Fondriest, Diane Wheeler Doctor of Medicine (MD)
Phone: (847) 615-4654

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36065837 Illinois

Profile Details

NPI number 1003011628
LBN Legal business name Lake Shore Pediatrics, Ltd
DBA Doing business as
Authorized official Fondriest, Diane Wheeler Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2007
Last updated Aug 22nd, 2020 - about 4 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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