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Organization
LAKESHORE OPHTHALMOLOGY PLLC
Active
Organization
LAKESHORE OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP K BHATIA MD (OWNER)
(312) 625-2420
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE FL 8, CHICAGO, IL 60616-2315
(312) 567-7610
(312) 567-8706
Mailing address
1706 S INDIANA AVE, CHICAGO, IL 60616-1302
(312) 399-6690
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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