PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC (NPI# 1598238867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598238867 |
| Entity Type | Organization |
| Organization Name | PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC |
| Practice Address |
4700 N Marine Dr Ste 315 Chicago IL 60640-7976 |
| Mailing Address |
4646 N Marine Dr Chicago IL 60640-5759 |
| Practice Telephone | 7735645030 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Chicago Health Medical Group | Doing Business As Name - Organization |
| CHMG - Lakefront Cancer Center | Other Name - Individual/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 |
| 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 |
| 1598238859 | Pipeline - Lakefront Medical Associates, LLC | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
| Street Address |
4700 N MARINE DR STE 315 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-7976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285602805 | Amy Reed | Surgery | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2006-03-09 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
| 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.