LAKEVIEW PEDIATRICS LLC NPI 1700931136

NPI Information

  • NPI: 1700931136
  • Provider Name: LAKEVIEW PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 14D2065983
  • Address: 1525 W BELMONT AVE
    SUITE 103
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 880-1738

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NPI Details

LAKEVIEW PEDIATRICS, LLC is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LAKEVIEW PEDIATRICS, LLC NPI is 1700931136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1525 W BELMONT AVE
SUITE 103
CHICAGO, IL
ZIP 60657-176
Phone: (773) 880-1738
Fax: (773) 472-7395

The provider's authorized official is Janice Salem .
The authorized official title is President Owner and has the following contact phone number (773) 880-1738.

The CLIA number assigned to this NPI record is 14D2065983 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 4/20/2008.

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
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERILLINOISTIN
201633936OTHERILLINOISBCBS PROVIDER ID

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: 3/30/2025

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