| Lakeview Outpatient Center | |
|
2849 North Clark Street Chicago IL 60657 | |
| (773) 528-1188 | |
| (773) 388-1753 |
| Full Name | Lakeview Outpatient Center |
|---|---|
| Speciality | Pediatrics |
| Location | 2849 North Clark Street, Chicago, Illinois |
| Authorized Official Name and Position | Rosemary Kaminski (NURSING SUPERVISOR) |
| Authorized Official Contact | 7735281188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Outpatient Center 2849 North Clark Street Chicago IL 60657 Ph: (773) 528-1188 | Lakeview Outpatient Center 2849 North Clark Street Chicago IL 60657 Ph: (773) 528-1188 |
| NPI Number | 1366537920 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366537920 | NPI | - | NPPES |
| 1632129 | Other | IL | BCBS PROVIDER # |
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