CHICAGO LAKE SHORE MEDICAL ASSOCIATES,LTD - NPI 1912946120

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

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About Chicago Lake Shore Medical Associates,ltd NPPES

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

CHICAGO LAKE SHORE MEDICAL ASSOCIATES,LTD (NPI 1912946120) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since June 2006. The organization lists Linda D Marra, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1912946120

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCHICAGO LAKE SHORE MEDICAL ASSOCIATES,LTD

Location Address676 N ST CLAIR, SUITE 2300Chicago, IL 60611-2922

Mailing Address676 N St Clair, Suite 2300Chicago, IL 60611-2922 · (312) 926-6000 · Fax (312) 276-4032

Phone(312) 926-6000

Fax(312) 276-4032

Organization SubpartNo

Authorized OfficialLinda D MarraPractice Manager · (312) 926-6101

Enumeration DateJune 5, 2006

Last NPPES UpdateJuly 23, 2012

✔ NPI 1912946120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X

676 N ST CLAIR, Chicago, IL 60611

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Other Identifiers 1

Medicare NSC1245580001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP