LAKE CICERO CLINIC - NPI 1336498062 - Internal Medicine in Chicago, IL

Q: What is Lake Cicero Clinic, S.C.'s NPI number?

The NPI number for Lake Cicero Clinic, S.C. is 1336498062. It was assigned to this organization in the NPPES registry on September 10, 2012. The provider is doing business as Lake Cicero Clinic.

Q: What is Lake Cicero Clinic, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Lake Cicero Clinic NPPES

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

LAKE CICERO CLINIC (NPI 1336498062) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since September 2012. The organization lists Gurcharan Singh Randhawa, Owner - Physician, as its authorized official.

NPPES Registry Identity

NPI1336498062

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKE CICERO CLINIC, S.C.

Location Address4801 W LAKE STChicago, IL 60644-2609

Mailing Address4801 W Lake StChicago, IL 60644-2609 · (773) 378-8100

Phone(773) 378-8100

Organization SubpartNo

Authorized OfficialGurcharan Singh RandhawaOwner - Physician · (773) 378-8100

Enumeration DateSeptember 10, 2012

✔ NPI 1336498062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036085519

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4801 W LAKE ST, Chicago, IL 60644

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Other Names 1

Doing Business AsLake Cicero Clinic

Other Identifiers 1

Other1639206535IL · Individual Npi

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 6

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

SEDA INC

Pharmacy (Community/Retail Pharmacy)