# LAKEFRONT MEDICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vanguard Medical Group - Lakefront
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144418633
- **Authorized official:** CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
- **Authorized official phone:** (818) 436-2267

## Contact information

- **Practice address:** 4646 N MARINE DR, CHICAGO, IL 60640-5759
- **Practice address phone:** (773) 564-5102
- **Practice address fax:** (773) 564-5101
- **Mailing address:** 20 BURTON HILLS BLVD, NASHVILLE, TN 37215-6197
- **Mailing address phone:** (615) 665-6000
- **Mailing address fax:** (615) 665-6184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 03/18/2021