PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC (NPI# 1285107540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285107540 |
| Entity Type | Organization |
| Organization Name | PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC |
| Practice Address |
4646 N Marine Dr Chicago IL 60640-5759 |
| Practice Telephone | 7735647400 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JAMES EDWARDS (CEO) |
| Authorized Official Telephone | 5704368540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Arvey Foot Care Clinic | Other Name - Individual/Organization |
| Chicago Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1407329782 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1350 W Lake St, Melrose Park, IL 60160-4042 | 2019-01-09 |
| 1720551096 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 | 2019-01-09 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1326511619 | Pipeline - Lakefront Medical Associates, LLC | Preventive Medicine | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2019-01-09 |
| 1366915647 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 8330 Grand Ave, River Grove, IL 60171-1435 | 2019-01-09 |
| 1841763125 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 7411 Lake St Ste 1120, River Forest, IL 60305-1882 | 2019-01-09 |
| 1598238867 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2019-01-09 |
| 1013480359 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 4700 N Marine Dr Ste 300, Chicago, IL 60640-7975 | 2019-01-09 |
| 1912470295 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 7420 Central Ave, River Forest, IL 60305-1800 | 2019-01-09 |
| Street Address |
4646 N MARINE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850969 | Peter A Hancock | Podiatrist | 4646 N Marine Dr, Ste C-6500, Chicago, IL 60640-5759 | 2005-06-11 |
| 1881200368 | Chandan Singh Sapkota | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-09-19 |
| 1538771316 | Ayesha Saleem | Student in an Organized Health Care Education/Training Program | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-21 |
| 1831701978 | Allina Ghimire | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-19 |
| 1154932291 | Ayomide Ireti Sotomi-foluso | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-12 |
| 1427669860 | Yadana Oo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-10 |
| 1467062190 | Seyma Eroglu | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1003426743 | Carlos Andres Rueda Mantilla | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1609486968 | Ahmet Ersin Yassa | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-03 |
| 1861000630 | Mustafa Ali Samejo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1457423683 | Park Medical & Surgical Plaza | Clinic/Center | 2621 N Halsted St, Chicago, IL 60614-2301 | 2006-11-14 |
| 1841389830 | Logan Square Foot Center | Clinic/Center | 2831 N Milwaukee Ave., Chicago, IL 60618-7403 | 2006-10-11 |
| 1811965635 | Northwest Ambucare | Clinic/Center | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2006-03-08 |
| 1366083032 | Ramin Ghazizadeh | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-10-03 |
| 1073921193 | Dr. Jeremy Schwartz Dpm LLC | Clinic/Center | 525 W Hawthorne Pl, #3003, Chicago, IL 60657-2907 | 2014-08-01 |
| 1508031295 | Crawford Surgicare | Clinic/Center | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2008-04-24 |
| 1427245141 | Charlotte M. Covello, Dpm,llc | Clinic/Center | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | 2007-09-26 |
| 1548381825 | Podiatry Center, Sc | Clinic/Center | 30 N Michigan Ave, Suite 1129, Chicago, IL 60602-3402 | 2007-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.