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LAKESIDE NEPHROLGOY LTD/PRARIE
NPI 1649433376
Specialist in Chicago, IL

Active since July 02, 2008
1717 S WABASH AVE, CHICAGO, IL 60616(312) 913-0110(312) 913-9154 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Nephrolgoy Ltd/prarie NPPES

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

LAKESIDE NEPHROLGOY LTD/PRARIE (NPI 1649433376) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since July 2008. The organization lists Sheldon Hirsch, Partner, as its authorized official.

NPPES Registry Identity

NPI1649433376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKESIDE NEPHROLGOY LTD/PRARIE
Location Address1717 S WABASH AVEChicago, IL 60616-1219
Mailing Address1717 S Wabash AveChicago, IL 60616-1219 · (312) 913-0110 · Fax (312) 913-9154
Phone(312) 913-0110
Fax(312) 913-9154
Organization SubpartYesParent: Lakeside Nephrology Ltd/loop
Authorized OfficialSheldon HirschPartner · (312) 913-0110
Enumeration DateJuly 2, 2008
✔ NPI 1649433376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 36-065928
Definition
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.
1717 S WABASH AVE, Chicago, IL 60616
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINA14008IL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0950306

Lakeside Nephrology Ltd · Chicago, IL
Expired · Aug 20, 2026
CLIA Number14D0950306
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorSheldon Hirsch
Laboratory Phone(312) 913-0110
Laboratory LocationLakeside Nephrology Ltd1717 South Wabash Street, Chicago, IL 60616
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

SHELDON M HIRSCH MD
Internal Medicine (Nephrology)
1717 S WABASH AVE
CHICAGO, IL 60616
Cook County (312) 913-0110
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1717 S WABASH AVE
CHICAGO, IL 60616
Cook County (312) 913-0000

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 Lakeside Nephrolgoy Ltd/Prarie's NPI number?

The NPI number for Lakeside Nephrolgoy Ltd/Prarie is 1649433376. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is Lakeside Nephrolgoy Ltd/Prarie located?

Lakeside Nephrolgoy Ltd/Prarie is located at 1717 S Wabash Ave, Chicago, IL 60616. The listed phone number is (312) 913-0110.

What is Lakeside Nephrolgoy Ltd/Prarie's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lakeside Nephrolgoy Ltd/Prarie was last updated on July 2, 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.