Lakeshore Pulmonary Associates, Llc

LBN: Lakeshore Pulmonary Associates, Llc
Lakeshore Pulmonary Associates, Llc is an health care organization with primary practice located at 2555 S King Dr 2Nd Floor, Chicago IL 60616-2419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Lakeshore Pulmonary Associates, Llc can be contacted via phone (312) 674-4005, or through Beard, Glenn via phone (312) 850-1990.

Contact Information

Primary practice address
2555 S King Dr 2Nd Floor Chicago IL 60616-2419
Phone: (312) 674-4005
Fax: (312) 674-4001
Website:
Map and Directions
Authorized official contact:
Name: Beard, Glenn Doctor of Medicine (MD)
Phone: (312) 850-1990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036059554 Illinois

Profile Details

NPI number 1154456333
LBN Legal business name Lakeshore Pulmonary Associates, Llc
DBA Doing business as
Authorized official Beard, Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 28th, 2009 - about 15 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 1154456333 NPPES
Illinois MEDICAID 036059554

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