Lakeshore Womens Health Specialists Sc
Obstetrics & Gynecology in Chicago, IL. Organization (NPI-2).
NPI number1528094869
StatusActive
Last updated in NPPESJan 6, 2010
Details
- NPI
- 1528094869
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeshore Womens Health Specialists Sc
- Organization subpart
- No
- Enumeration date
- Jun 25, 2006
- Last updated
- Jan 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
1460 N HalstedSuite 503
Chicago, IL 60642-2613
Phone 773-472-1444 · Fax 773-472-4424
Mailing address
1460 N HalstedSuite 503
Chicago, IL 60642-2613
Phone 773-472-1444 · Fax 773-472-4424
Authorized official
Rose Diakos
Partner
7734721444
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