# LAKESHORE EYE PHYSICIANS AND SURGEONS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548275985
- **Authorized official:** HOWARD JOEL REINGLASS MD (PRESIDENT)
- **Authorized official phone:** (773) 743-6700

## Contact information

- **Practice address:** 7200 NORTH WESTERN AVENUE, CHICAGO, IL 60645-1812
- **Practice address phone:** (773) 743-6700
- **Practice address fax:** (773) 761-9226
- **Mailing address:** 7080 NORTH WESTERN AVENUE, CHICAGO, IL 60645
- **Mailing address phone:** (773) 465-7777
- **Mailing address fax:** (773) 761-9226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1618098 | BCBS | IL |