LAKESHORE PREMIUM HEALTHCARE, INC (NPI# 1730430703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730430703 |
| Entity Type | Organization |
| Organization Name | LAKESHORE PREMIUM HEALTHCARE, INC |
| Practice Address |
3000 N Halsted St Suite 609 Chicago IL 60657-5188 |
| Practice Telephone | 9495842059 |
| Practice Fax Number | 9496799174 |
| Mailing Telephone | 9495842059 |
| Mailing Fax Number | 9496799174 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | DR. JULIE THOMAS (PHYSICIAN) |
| Authorized Official Telephone | 9495842059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036-131263 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
036-131263 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3000 N HALSTED ST SUITE 609 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310482 | Mark Pietz | Podiatrist | 3000 N Halsted St, Suite 821, Chicago, IL 60657-5188 | 2005-07-18 |
| 1740844232 | Sandra Mazzeffi | Nurse Practitioner | 3000 N Halsted St, Chicago, IL 60657-5188 | 2019-04-30 |
| 1437713930 | Molly O'brien | Physician Assistant | 3000 N Halsted St, Chicago, IL 60657-5188 | 2019-04-30 |
| 1245760081 | Carolina Coello | Nurse Practitioner | 3000 N Halsted St, Chicago, IL 60657-5188 | 2017-06-14 |
| 1417302704 | Brittany Beeg | Audiologist | 3000 N Halsted St, Suite 400, Chicago, IL 60657-5188 | 2016-04-25 |
| 1063870525 | Whitney Fritzie | Specialist | 3000 N Halsted St, Suite 320, Chicago, IL 60657-5188 | 2016-01-29 |
| 1952776445 | Alissa Roberts | Nurse Practitioner | 3000 N Halsted St, Suite 723, Chicago, IL 60657-5188 | 2015-12-09 |
| 1366815250 | Windy City Pediatrics | Clinic/Center | 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 | 2015-11-02 |
| 1346640828 | Ellen May | Audiologist | 3000 N Halsted St, Suite 400, Chicago, IL 60657-5188 | 2014-09-03 |
| 1558771543 | Anthony Lisuzzo | Physician Assistant | 3000 N Halsted St, Suite #525, Chicago, IL 60657-5188 | 2014-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861755498 | Abigail Denise Doyle | Internal Medicine | 5841 S Maryland Ave # 6026, Chicago, IL 60637 | 2012-06-19 |
| 1558584391 | Mehbub S Kapadia | Internal Medicine | 2745 W Devon Ave, Chicago, IL 60659-1712 | 2007-04-10 |
| 1649527276 | Paul Poncza, Dds, PC | Internal Medicine | 1350 W Belmont Ave, Suite 1, Chicago, IL 60657-3245 | 2012-08-14 |
| 1841585775 | Mukesh K Ahluwalia PC | Internal Medicine | 5600 W Addison St, Suite 306, Chicago, IL 60634-4401 | 2011-06-20 |
| 1710208541 | Jennifer Danielle Butler | Internal Medicine | 5841 S Maryland Ave, M/c 6026, Chicago, IL 60637-1447 | 2010-06-16 |
| 1629206438 | Sushmita Pamidi | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776954 | Almusaddy Medical Inc | Internal Medicine | 500 N Mclean Blvd, Elgin, IL 60123-3275 | 2020-03-24 |
| 1205292281 | Mjm Medical Corp | Internal Medicine | 5696 Heidi Dr, Rockford, IL 61109-1768 | 2016-01-07 |
| 1720470115 | Chicago Pulmonary and Sleep Disorders Institute Ltd | Internal Medicine | 1742 S La Londe Ave, Lombard, IL 60148-3537 | 2015-02-23 |
| 1467717561 | Syed A Sayeeduddin | Internal Medicine | 8900 31st St Unit 6, Brookfield, IL 60513-1473 | 2012-07-05 |
| 1689800443 | Esteban Linarez Sleep, LLC | Internal Medicine | 850 W. Madison Street, Suite A, Oak Park, IL 60302-1632 | 2009-06-08 |
| 1689742272 | Advance Sleep Solutions and Diagnostics Inc | Internal Medicine | 820 F Terra Cotta Ave, Unit 216, Crystal Lake, IL 60014 | 2006-12-01 |
| 1659443968 | Chest Diseases & Sleep Disorders Sc | Internal Medicine | 15 Tower Ct Ste 140, Gurnee, IL 60031-3338 | 2006-11-14 |
| 1871547414 | St Joseph Medical Center | Internal Medicine | 302 Saint Joseph Dr, Bloomington, IL 61701-3506 | 2006-05-19 |
| 1407845019 | Pulmonary and Critical Care Consultants, S.c. | Internal Medicine | 11900 Southwest Hwy, Palos Park, IL 60464-1200 | 2005-10-17 |
| 1356951180 | Us Tele Sleep LLC | Internal Medicine | 1755 Park St Ste 200, Naperville, IL 60563-8404 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKESHORE PREMIUM HEALTHCARE, INC.
| 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.