Vanguard Medical Group - Lakefront

LBN: Lakefront Medical Associates Llc
Vanguard Medical Group - Lakefront is an health care organization with primary practice located at 4646 N Marine Dr , Chicago IL 60640-5759. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Lakefront Medical Associates Llc can be contacted via phone (773) 564-5102, or through Armin, Craig C. via phone (818) 436-2267.

Contact Information

Primary practice address
4646 N Marine Dr Chicago IL 60640-5759
Phone: (773) 564-5102
Fax: (773) 564-5101
Website:
Map and Directions
Authorized official contact:
Name: Armin, Craig C.
Phone: (818) 436-2267

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1144418633
LBN Legal business name Lakefront Medical Associates Llc
DBA Doing business as Vanguard Medical Group - Lakefront
Authorized official Armin, Craig C.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Mar 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144418633 NPPES
Illinois Other 1638544 BCBS - IL

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