1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Specialist
  6. NPI Profile

LAKESIDE MEDICAL, INC.
NPI 1144477738
Specialist in Evanston, IL

Active since August 26, 2008
1001 EMERSON ST, SUITE 306, EVANSTON, IL 60201(847) 209-3729 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Medical, Inc. NPPES

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

LAKESIDE MEDICAL, INC. (NPI 1144477738) is a healthcare organization registered as a specialist in Evanston, Illinois and active in the NPI registry since August 2008. The organization lists Jeff Vantil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144477738
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKESIDE MEDICAL, INC.
Location Address1001 EMERSON ST, SUITE 306Evanston, IL 60201-3147
Mailing Address320 S Calumet RdChesterton, IN 46304-2451 · (219) 926-5400
Phone(847) 209-3729
Organization SubpartNo
Authorized OfficialJeff VantilCeo · (219) 926-5400
Enumeration DateAugust 26, 2008
✔ NPI 1144477738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1001 EMERSON ST, Evanston, IL 60201
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Lakeside Medical, Inc.'s NPI number?

The NPI number for Lakeside Medical, Inc. is 1144477738. It was assigned to this organization in the NPPES registry on August 26, 2008.

Where is Lakeside Medical, Inc. located?

Lakeside Medical, Inc. is located at 1001 Emerson St Suite 306, Evanston, IL 60201. The listed phone number is (847) 209-3729.

What is Lakeside Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lakeside Medical, Inc. was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.