LAKE MEDICAL CLINIC SC
NPI 1699760801
Internal Medicine - Cardiovascular Disease in Grayslake, IL

Active since September 14, 2005
564 BARRON BLVD, SUITE C, GRAYSLAKE, IL 60030(847) 223-4440(847) 223-0149 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Medical Clinic Sc NPPES

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

LAKE MEDICAL CLINIC SC (NPI 1699760801) is a healthcare organization registered as a cardiovascular disease in Grayslake, Illinois and active in the NPI registry since September 2005. The organization lists Rajindar Singh, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699760801
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLAKE MEDICAL CLINIC SC
Location Address564 BARRON BLVD, SUITE CGrayslake, IL 60030-3355
Mailing AddressPo Box 263Grayslake, IL 60030-0263 · (847) 223-4440 · Fax (847) 223-0149
Fax(847) 223-0149
Organization SubpartNo
Authorized OfficialRajindar SinghAuthorized Official · (847) 223-4440
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJuly 17, 2015
NPI 1699760801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036.053634
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
564 BARRON BLVD, Grayslake, IL 60030

Other Identifiers 3

Medicaid036053634IL
Medicare UPIND93970
Medicare PIN735900IL

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

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 Medical Clinic Sc's NPI number?

The NPI number for Lake Medical Clinic Sc is 1699760801. It was assigned to this organization in the NPPES registry on September 14, 2005.

Where is Lake Medical Clinic Sc located?

Lake Medical Clinic Sc is located at 564 Barron Blvd Suite C, Grayslake, IL 60030. The listed phone number is (847) 223-4440.

What is Lake Medical Clinic Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Lake Medical Clinic Sc was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.