PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC (NPI# 1912470105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912470105 |
Entity Type | Organization |
Organization Name | PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC |
Practice Address |
6201 North Broadway Chicago IL 60660 |
Mailing Address |
4646 N Marine Dr Chicago IL 60640-5759 |
Practice Telephone | 8445332464 |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-01-10 |
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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Chicago Health Medical Group | Doing Business As Name - Organization |
CHMG - Edgewater | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1598238859 | Pipeline - Lakefront Medical Associates, LLC | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
Street Address |
6201 NORTH BROADWAY |
City | CHICAGO |
State | IL |
Zip Code | 60660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
1184985970 | Lou Agosta Jr. | Psychoanalyst | Sheridan Road, Chicago, IL 60660 | 2012-06-07 |
Find all providers in zip 60660 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
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.