LAKE SHORE MEDICAL ASSOCIATES, LTD.
NPI 1093703688
Clinic/Center in Chicago, IL

Active since October 08, 2005
2222 W DIVISION ST STE 116, CHICAGO, IL 60622(773) 525-7720(773) 525-9199 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Shore Medical Associates, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SHORE MEDICAL ASSOCIATES, LTD. (NPI 1093703688) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since October 2005. The organization lists Vijayalakshmi Arekapudi, President, as its authorized official.

NPPES Registry Identity

NPI1093703688
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE SHORE MEDICAL ASSOCIATES, LTD.
Location Address2222 W DIVISION ST STE 116Chicago, IL 60622-3093
Mailing Address2734 N Lincoln AveChicago, IL 60614-1321 · (773) 525-7720 · Fax (773) 525-9199
Fax(773) 525-9199
Organization SubpartNo
Authorized OfficialVijayalakshmi ArekapudiPresident · (773) 525-7720
Enumeration DateOctober 8, 2005
Last NPPES UpdateJune 3, 2016
NPI 1093703688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
2222 W DIVISION ST STE 116, Chicago, IL 60622

Other Identifiers 1

OtherD5245-919-2IL · Il Corp File Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
2222 W DIVISION ST STE 116
CHICAGO, IL 60622
Obstetrics & Gynecology
2222 W DIVISION ST STE 116
CHICAGO, IL 60622
Clinic/Center (Medical Specialty)
2222 W DIVISION ST STE 116
CHICAGO, IL 60622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Shore Medical Associates, Ltd.'s NPI number?

The NPI number for Lake Shore Medical Associates, Ltd. is 1093703688. It was assigned to this organization in the NPPES registry on October 8, 2005.

Where is Lake Shore Medical Associates, Ltd. located?

Lake Shore Medical Associates, Ltd. is located at 2222 W Division St Ste 116, Chicago, IL 60622. The listed phone number is (773) 525-7720.

What is Lake Shore Medical Associates, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lake Shore Medical Associates, Ltd. was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.