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Organization
LAKEVIEW MEDICAL CENTER AND CONSULTANTS, LTD.
Active
Organization
LAKEVIEW MEDICAL CENTER AND CONSULTANTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR AMISTOSO BORDA M.D. (PRESIDENT/MEDICAL DIRECTOR)
(773) 528-5851
Entity
Organization
Contact information
Practice address
3046 N. ASHLAND AVE., CHICAGO, IL 60657-3034
(773) 528-5851
(773) 528-9790
Mailing address
3046 N. ASHLAND AVE., CHICAGO, IL 60657-3034
(773) 528-5851
(773) 528-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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