LAKESIDE NEPHROLOGY, LTD.
NPI 1386807006
Specialist in Skokie, IL

NPI Status: Active since July 02, 2008

Contact Information

9332 SKOKIE BLVD
SKOKIE, IL
ZIP 60077
Phone: (847) 581-0110
Fax: (847) 581-1768

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  • Organization
  • Specialist
  • CLIA Number: 14D0986005
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 05-03-2027

About LAKESIDE NEPHROLOGY, LTD.

This page provides the complete NPI Profile along with additional information for Lakeside Nephrology, Ltd., a provider established in Skokie, Illinois operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1386807006 assigned on July 2008. The practitioner's primary taxonomy code is 174400000X with license number 36097354 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Patricia Payne (Practice Manager)

NPI
1386807006
Provider Name
LAKESIDE NEPHROLOGY, LTD.
Entity Type
Organization
Location Address
9332 SKOKIE BLVD SKOKIE, IL 60077
Location Phone
(847) 581-0110
Location Fax
(847) 581-1768
Mailing Address
9801 WOODS DR SKOKIE, IL 60077
Mailing Phone
(847) 581-0110
Mailing Fax
(847) 581-1768
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-02-2008
Last Update Date
01-31-2024
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
36097354
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

PATRICIA PAYNE

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(847) 581-0110

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0986005
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
May 04, 2025
Certificate Expiration Date
May 03, 2027
Laboratory Director
CHRISTOPHER C. NAJAFI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Lakeside Nephrology, Ltd. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386807006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 1 + 6 + 0 + 1 + 4 + 0 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1386807006.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9332 SKOKIE BLVD
SKOKIE, IL 60077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386807006, enumerated as an "organization" on July 02, 2008.

The provider is located at 9332 SKOKIE BLVD SKOKIE, IL 60077 and the phone number is (847) 581-0110.

Specialist with taxonomy code 174400000X.