Lakeside Medical Group Ltd Valid NPI

Organization · Adolescent Medicine (Internal Medicine) Physician · Chicago, IL

NPI

1790809804

Type

Organization (Type 2)

Primary specialty

Adolescent Medicine (Internal Medicine) Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RA0000X

Enumerated

2007-03-16

Last updated

2020-08-22