Lakeshore Gastroenterology And Liver Disease Institute S.C.
LBN: Lakeshore Gastroenterology And Liver Disease Institute S.C.
Lakeshore Gastroenterology And Liver Disease Institute S.C. is an health care organization with primary practice located at 1 Erie Court Suite 3100, Oak Park IL 60614-8542. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Lakeshore Gastroenterology And Liver Disease Institute S.C. can be contacted via phone (708) 763-8248, or through Heydarpour, Kamran via phone (708) 763-8248.
Contact Information
Primary practice address
1 Erie Court Suite 3100
Oak Park IL 60614-8542
Phone: (708) 763-8248
Fax: (708) 383-7875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 336-052655 | Illinois |
Profile Details
| NPI number | 1528237765 |
|---|---|
| LBN Legal business name | Lakeshore Gastroenterology And Liver Disease Institute S.C. |
| DBA Doing business as | |
| Authorized official | Heydarpour, Kamran Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2008 |
| Last updated | Nov 26th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528237765 | NPPES |
| Illinois | MEDICAID | 036091055 |
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