LAKE SHORE ADULT & GERIATRIC MEDICINE, LTD
NPI 1326056276
Family Medicine in Chicago, IL

Q: What is Lake Shore Adult & Geriatric Medicine, Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 04, 2006

150 E HURON STREET, SUITE 805, CHICAGO, IL 60611(312) 649-6565(312) 649-9842 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Shore Adult & Geriatric Medicine, Ltd NPPES

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

LAKE SHORE ADULT & GERIATRIC MEDICINE, LTD (NPI 1326056276) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since August 2006. The organization lists Mark Vexelman, President, as its authorized official.

NPPES Registry Identity

NPI1326056276

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKE SHORE ADULT & GERIATRIC MEDICINE, LTD

Location Address150 E HURON STREET, SUITE 805Chicago, IL 60611-2912

Mailing Address150 E Huron Street, Suite 805Chicago, IL 60611-2912 · (312) 649-6565 · Fax (312) 649-9842

Phone(312) 649-6565

Fax(312) 649-9842

Organization SubpartNo

Authorized OfficialMark VexelmanPresident · (312) 649-6565

Enumeration DateAugust 4, 2006

Last NPPES UpdateApril 9, 2010

✔ NPI 1326056276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036095873

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

150 E HURON STREET, Chicago, IL 60611

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Other Identifiers 1

Medicare PIN208984IL

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.

EDWARD TUDER MD

Psychiatry & Neurology (Psychiatry)

150 E HURON STREET, SUITE 1306
CHICAGO, IL 60611

Cook County (312) 943-0378

ELIZABETH WALZ-BUSCHER M.D

Obstetrics & Gynecology

150 E HURON STREET, 825
CHICAGO, IL 60611

Cook County (312) 751-7515

DR. MARK VEXELMAN MD

Family Medicine

150 E HURON STREET, SUITE 805
CHICAGO, IL 60611

Cook County (312) 649-6565

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 Adult & Geriatric Medicine, Ltd's NPI number?

The NPI number for Lake Shore Adult & Geriatric Medicine, Ltd is 1326056276. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Lake Shore Adult & Geriatric Medicine, Ltd located?

Lake Shore Adult & Geriatric Medicine, Ltd is located at 150 E Huron Street Suite 805, Chicago, IL 60611. The listed phone number is (312) 649-6565.

What is Lake Shore Adult & Geriatric Medicine, Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lake Shore Adult & Geriatric Medicine, Ltd was last updated on April 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.