Lakeside Medical, Inc.

LBN: Lakeside Medical, Inc.
Lakeside Medical, Inc. is an health care organization with primary practice located at 1001 Emerson St Suite 306, Evanston IL 60201-3147. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lakeside Medical, Inc. can be contacted via phone (847) 209-3729, or through Vantil, Jeff via phone (219) 926-5400.

Contact Information

Primary practice address
1001 Emerson St Suite 306 Evanston IL 60201-3147
Phone: (847) 209-3729
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vantil, Jeff
Phone: (219) 926-5400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1144477738
LBN Legal business name Lakeside Medical, Inc.
DBA Doing business as
Authorized official Vantil, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2008
Last updated Aug 26th, 2008 - about 18 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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