# LAKE SHORE INTERNAL MEDICINE SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paru K Sharma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114924552
- **Authorized official:** PARU K SHARMA MD (CEO)
- **Authorized official phone:** (847) 245-8448

## Contact information

- **Practice address:** 7505 GRAND AVE, GURNEE, IL 60031-1551
- **Practice address phone:** (847) 245-8448
- **Practice address fax:** (847) 245-7070
- **Mailing address:** 7505 GRAND AVE, GURNEE, IL 60031-1551
- **Mailing address phone:** (847) 245-8448
- **Mailing address fax:** (847) 245-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036059341 | IL | Yes |
| 207R00000X | Internal Medicine Physician | 03606886 | IL | — |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 07/21/2008