Lake Shore Medical Associates, Ltd.

NPI #1093703688 in Chicago, Illinois

Provider Information

NPI Number
1093703688
Entity Type
Organization
Organization Name
Lake Shore Medical Associates, Ltd.
Primary Specialty
Clinic/Center
Enumeration Date
Oct 8, 2005
Last Updated
Jun 3, 2016

Practice Location

Address
2222 W DIVISION ST STE 116
ZIP Code
60622-3093
Phone
(773) 525-7720

Authorized Official

Name
VIJAYALAKSHMI AREKAPUDI, M.D.
Title
PRESIDENT
Phone
(773) 525-7720

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology
Clinic/Center

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