Organization
LAKEVIEW MEDICAL CENTER AND CONSULTANTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR AMISTOSO BORDA M.D. (PRESIDENT/MEDICAL DIRECTOR)
(773) 528-5851
Entity
Organization
Contact information
Practice address
3046 N. ASHLAND AVE., CHICAGO, IL 60657-3034
(773) 528-5851
(773) 528-9790
Mailing address
3046 N. ASHLAND AVE., CHICAGO, IL 60657-3034
(773) 528-5851
(773) 528-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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