LAKE COOK SURGICAL ASSOCIATES PC
NPI 1801897434
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Park Ridge, IL

Active since August 04, 2005
1600 DEMPSTER ST, SUITE 102, PARK RIDGE, IL 60068(847) 635-9006 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...

About LAKE COOK SURGICAL ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Lake Cook Surgical Associates Pc, a provider established in Park Ridge, Illinois operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1801897434 assigned on August 2005. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 19 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 Janice R. Klich M.d. (President)

NPI
1801897434 Verify this NPI
Provider Name
LAKE COOK SURGICAL ASSOCIATES PC
Entity Type
Organization
Location Address
1600 DEMPSTER ST SUITE 102 PARK RIDGE, IL 60068
Location Phone
(847) 635-9006
Mailing Address
520 E 22ND ST LOMBARD, IL 60148
Mailing Phone
(630) 874-2542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2005
Last Update Date
07-16-2007
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JANICE R. KLICH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 635-9006

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
384160MEDICARE PIN (08)IL 

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Specialist/Technologist Cardiovascular (Vascular Specialist)
1600 DEMPSTER ST, SUITE 105
PARK RIDGE, IL 60068
Dentist
1600 DEMPSTER ST, SUITE 101
PARK RIDGE, IL 60068
Dentist
1600 DEMPSTER ST, SUITE 202
PARK RIDGE, IL 60068
Counselor (Mental Health)
1600 DEMPSTER ST, SUITE 216
PARK RIDGE, IL 60068
Dentist (General Practice)
1600 DEMPSTER ST, SUITE #201
PARK RIDGE, IL 60068
Internal Medicine
1600 DEMPSTER ST, SUITE 207
PARK RIDGE, IL 60068
Specialist
1600 DEMPSTER ST, SUITE 103
PARK RIDGE, IL 60068
Occupational Therapist
1600 DEMPSTER ST, SUITE 102
PARK RIDGE, IL 60068
Physical Therapist
1600 DEMPSTER ST, SUITE 102
PARK RIDGE, IL 60068
Internal Medicine
1600 DEMPSTER ST, SUITE 207
PARK RIDGE, IL 60068
Dentist
1600 DEMPSTER ST, SUITE LL1
PARK RIDGE, IL 60068
Psychiatry & Neurology (Neurology)
1600 DEMPSTER ST, SUITE LL3
PARK RIDGE, IL 60068
Specialist
1600 DEMPSTER ST, SUITE 120
PARK RIDGE, IL 60068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801897434, enumerated as an "organization" on August 04, 2005.

The provider is located at 1600 DEMPSTER ST SUITE 102 PARK RIDGE, IL 60068 and the phone number is (847) 635-9006.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.