Organization
LAKESHORE HOME VISITING PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETTE MCKENZIE (OWNER/OPERATOR)
(773) 654-3326
Entity
Organization
Contact information
Practice address
5232 N SHERIDAN RD, CHICAGO, IL 60640-2513
(773) 654-3326
Mailing address
5232 N SHERIDAN RD, CHICAGO, IL 60640-2513
(773) 654-3326
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
01/02/2023
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