Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeshore Premium Healthcare, Inc

Organization Sleep Medicine (Internal Medicine) Physician · NPI 1730430703

Lakeshore Premium Healthcare, Inc provides Sleep Medicine (Internal Medicine) Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 N Halsted St Ste 609
Chicago, IL 60657-5188 Not confirmed with CMS for 14 years — call before visiting
Phone: (949) 584-2059
Fax: (949) 679-9174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 036-131263 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036-131263 (IL)

Record details

NPI number1730430703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Thomas — Physician · (949) 584-2059
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 8, 2012
Mailing address3000 N Halsted St, Suite 609, Chicago, IL 60657-5188

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