| Lakeshore Infectious Diseases Consultant Corporation | |
|
2525 S Michigan Ave Chicago IL 60616-2315 | |
| (847) 736-9340 | |
| Not Available |
| Full Name | Lakeshore Infectious Diseases Consultant Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2525 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Syed M Ala (OWNER) |
| Authorized Official Contact | 8477369340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Infectious Diseases Consultant Corporation 2815 Lobelia Cir Naperville IL 60564-4964 Ph: () - | Lakeshore Infectious Diseases Consultant Corporation 2525 S Michigan Ave Chicago IL 60616-2315 Ph: (847) 736-9340 |
| NPI Number | 1063140788 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 3779968755 |
|---|---|
| Medicare Enrollment ID | O20220912001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063140788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
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