4011 KH CHICAGO LAKESHORE
NPI 1205165396
Hospitalist in Chicago, IL

Active since December 18, 2009
6130 N SHERIDAN RD, CHICAGO, IL 60660(773) 381-1222(833) 501-9731 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2021, Jun 11, 2020, Feb 16, 2018 (3 updates tracked since 2018).

  • Organization
  • Hospitalist

About 4011 KH CHICAGO LAKESHORE

This page provides the complete NPI Profile along with additional information for 4011 Kh Chicago Lakeshore, a provider established in Chicago, Illinois operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1205165396 assigned on December 2009. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 4011 Kh Chicago Lakeshore operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is 4011 Kh Chicago Lakeshore. The authorized official of this NPI record is Linda L Fisher (Dvp Revenue Cycle)

NPI
1205165396 Verify this NPI
Provider Legal Name
KND DEVELOPMENT 59, LLC
Other Organization Name
4011 KH CHICAGO LAKESHORE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6130 N SHERIDAN RD CHICAGO, IL 60660
Location Phone
(773) 381-1222
Location Fax
(833) 501-9731
Mailing Address
680 S 4TH ST LOUISVILLE, KY 40202
Mailing Phone
(502) 596-7358
Mailing Fax
(833) 501-9731
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-18-2009
Last Update Date
02-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA L FISHER

Authorized Official Title
DVP REVENUE CYCLE
Authorized Official Phone
(502) 596-7358

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
IL3881OTHER (01)ILMEDICARE

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
6130 N SHERIDAN RD, VENCOR HOSPITAL - LAKESHORE
CHICAGO, IL 60660
Hospitalist
6130 N SHERIDAN RD
CHICAGO, IL 60660
Long Term Care Hospital
6130 N SHERIDAN RD
CHICAGO, IL 60660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205165396, enumerated as an "organization" on December 18, 2009.

The provider is located at 6130 N SHERIDAN RD CHICAGO, IL 60660 and the phone number is (773) 381-1222.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.