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SOUTH LAKE MEDICAL SERVICES, LTD
NPI 1407023849
Clinic/Center - Adult Day Care in Chicago, IL

Active since May 14, 2008
2621 E 75TH ST, CHICAGO, IL 60649(773) 375-1900(773) 375-8279 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Lake Medical Services, Ltd NPPES

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

SOUTH LAKE MEDICAL SERVICES, LTD (NPI 1407023849) is a healthcare organization registered as an adult day care in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Maria C Thachenkery, President, as its authorized official.

NPPES Registry Identity

NPI1407023849
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSOUTH LAKE MEDICAL SERVICES, LTD
Location Address2621 E 75TH STChicago, IL 60649-3705
Mailing Address2621 E 75th StChicago, IL 60649-3705 · (773) 375-1900 · Fax (773) 375-8279
Phone(773) 375-1900
Fax(773) 375-8279
Organization SubpartNo
Authorized OfficialMaria C ThachenkeryPresident · (773) 375-1900
Enumeration DateMay 14, 2008
✔ NPI 1407023849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in IL · 036049708
2621 E 75TH ST, Chicago, IL 60649
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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 South Lake Medical Services, Ltd's NPI number?

The NPI number for South Lake Medical Services, Ltd is 1407023849. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is South Lake Medical Services, Ltd located?

South Lake Medical Services, Ltd is located at 2621 E 75th St, Chicago, IL 60649. The listed phone number is (773) 375-1900.

What is South Lake Medical Services, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for South Lake Medical Services, Ltd was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.