# LAKESHORE OPHTHALMOLOGY PLLC

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

## Provider details

- **NPI number:** 1952995474
- **Authorized official:** SANDEEP K BHATIA MD (OWNER)
- **Authorized official phone:** (312) 625-2420

## Contact information

- **Practice address:** 2525 S MICHIGAN AVE FL 8, CHICAGO, IL 60616-2315
- **Practice address phone:** (312) 567-7610
- **Practice address fax:** (312) 567-8706
- **Mailing address:** 1706 S INDIANA AVE, CHICAGO, IL 60616-1302
- **Mailing address phone:** (312) 399-6690

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 02/24/2021