| Vanguard Medical Group - Lakefront | |
|
4646 N Marine Dr Chicago IL 60640-5759 | |
| (773) 564-5102 | |
| (773) 564-5101 |
| Full Name | Vanguard Medical Group - Lakefront |
|---|---|
| Speciality | Internal Medicine |
| Location | 4646 N Marine Dr, Chicago, Illinois |
| Authorized Official Name and Position | Craig C. Armin (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Contact | 8184362267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Medical Group - Lakefront 20 Burton Hills Blvd Nashville TN 37215-6197 Ph: (615) 665-6000 | Vanguard Medical Group - Lakefront 4646 N Marine Dr Chicago IL 60640-5759 Ph: (773) 564-5102 |
| NPI Number | 1144418633 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144418633 | NPI | - | NPPES |
| 1638544 | Other | IL | BCBS - IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
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