Lakeside Nephrology, Ltd.

LBN: Lakeside Nephrology, Ltd.
Lakeside Nephrology, Ltd. is an health care organization with primary practice located at 1101 S Canal St , Chicago IL 60607-4901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Lakeside Nephrology, Ltd. can be contacted via phone (312) 986-0110, or through Payne, Patricia via phone (312) 986-0110.

Contact Information

Primary practice address
1101 S Canal St Chicago IL 60607-4901
Phone: (312) 986-0110
Fax: (312) 663-1010
Website:
Map and Directions
Authorized official contact:
Name: Payne, Patricia
Phone: (312) 986-0110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1184779373
LBN Legal business name Lakeside Nephrology, Ltd.
DBA Doing business as Lakeside Nephrology, Ltd.
Authorized official Payne, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 27th, 2010 - about 16 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 1184779373 NPPES
Illinois Other 1184779373 GROUP NPI

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