LAKE MI MOBILE DOCTORS, P.C. (NPI# 1437106465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437106465 |
| Entity Type | Organization |
| Organization Name | LAKE MI MOBILE DOCTORS, P.C. |
| Other Organization Name | MOBILE DOCTORS OF CHICAGO |
| Practice Address |
3319 N Elston Ave Suite 100 Chicago IL 60618-5811 |
| Mailing Address |
3319 N Elston Ave Suite 200 Chicago IL 60618-5811 |
| Practice Telephone | 7737517200 |
| Practice Fax Number | 7735834401 |
| Mailing Telephone | 7737517200 |
| Mailing Fax Number | 7735834401 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | MR. TYSYN CONTRERAS (DIRECTOR, QUALITY ASSURANCE) |
| Authorized Official Telephone | 3129395090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mobile Doctors of Chicago | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
| 1992057566 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-10-08 |
| 1992870281 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-11-21 |
| 1700950607 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-20 |
| 1205905916 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LAKE MI MOBILE DOCTORS, P.C. | 1229 N. North Branch, Ste 210, Chicago, IL 60642 |
| Street Address |
3319 N ELSTON AVE SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184900029 | Ninos Danny Jando | Podiatrist | 3319 N Elston Ave, Suite # 200, Chicago, IL 60618 | 2011-10-24 |
| 1285946673 | Susan Nathan | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2010-07-14 |
| 1215185582 | Burak Emin Gezen | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2008-08-28 |
| 1063690469 | James Steven Fenoglio | Family Medicine | 3319 N Elston Ave, Suite 200, Chicago, IL 60618-5811 | 2008-02-07 |
| 1396928149 | Liping Zhang | Family Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2007-12-14 |
| 1033300504 | Michael Martin | Internal Medicine | 3319 N Elston Ave, Chicago, IL 60618 | 2007-08-08 |
| 1770773871 | Nandana Jasti | Family Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2007-07-26 |
| 1316076946 | Glenn Alden Harrison | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2007-03-02 |
| 1073674081 | Brian E Bacardi | Podiatrist | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-12-13 |
| 1992870281 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1114113271 | Ewa Nowak | Internal Medicine | 3319 N Elston Ave # 200, Chicago, IL 60618-5811 | 2007-09-21 |
| 1275735706 | Geraldine Luna | Internal Medicine | 2231 E 95th St, Chicago, IL 60617-4804 | 2007-06-05 |
| 1487864542 | Kyra Payne | Internal Medicine | 213 N Racine, #100, Chicago, IL 60607 | 2007-05-23 |
| 1669699716 | Alejandro Aparicio | Internal Medicine | 6512 W Belle Plaine Ave, Chicago, IL 60634-1434 | 2007-04-19 |
| 1154459840 | Patricia Anne Rush | Internal Medicine | 7101 S Exchange Ave, Chicago, IL 60649-2503 | 2007-03-02 |
| 1447313705 | Shellie N Williams | Internal Medicine | The University of Chicago, 5841 S. Maryland Ave. Mc 6098, Chicago, IL 60637 | 2006-12-18 |
| Find all providers in CHICAGO | ||||
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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.