Organization
LAKESHORE INFECTIOUS DISEASES CONSULTANT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED M ALA MD (OWNER)
(847) 736-9340
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(847) 736-9340
Mailing address
2815 LOBELIA CIR, NAPERVILLE, IL 60564-4964
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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