Lakeside Medical Group Ltd

NPI #1790809804 in Chicago, Illinois

Provider Information

NPI Number
1790809804
Entity Type
Organization
Organization Name
Lakeside Medical Group Ltd
Primary Specialty
Internal Medicine - Adolescent Medicine
Enumeration Date
Mar 16, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1945 W WILSON AVE
Address 2
SUITE 6119
ZIP Code
60640-5255
Phone
(773) 561-5020

Authorized Official

Name
DR. JAVED NAZIR, M.D.
Title
PRESIDENT
Phone
(773) 561-5020

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Adolescent MedicineAdolescent Medicine

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