RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES LLC NPI 1932672391

NPI Information

NPI: 1932672391
Provider Name: RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC

Other Name: A.I. BURDICK FAMILY MEDICINE CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3 ERIE CT
OAK PARK, IL
ZIP 60302
Phone: (708) 763-1490
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RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC is a primary care clinic center in Oak Park, IL. RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC NPI is 1932672391. The provider is registered as an organization entity type.
The provider Other Name Is A.i. Burdick Family Medicine Center.

The provider's business location address is:

3 ERIE CT
OAK PARK, IL
ZIP 60302-519
Phone: (708) 763-1490

The provider's authorized official is Manoj Prasad .
The authorized official title is Ceo and has the following contact phone number (708) 763-6700.

The enumeration date for this NPI number is 1/9/2019 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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