Lake Shore Adult & Geriatric Medicine, Ltd
Lake Shore Adult & Geriatric Medicine, Ltd provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
150 E Huron St Ste 805Chicago, IL 60611-2912 Not confirmed with CMS for 16 years — call before visiting
Phone: (312) 649-6565
Fax: (312) 649-9842
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036095873 (IL) |
|---|
Record details
| NPI number | 1326056276 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Vexelman — President · (312) 649-6565 |
| NPI enumerated | August 4, 2006 |
| Last updated in NPPES | April 9, 2010 |
| Mailing address | 150 E Huron Street, Suite 805, Chicago, IL 60611-2912 |
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