Organization
LAKEFRONT MEDICAL ASSOCIATES LLC
Active
Organization
LAKEFRONT MEDICAL ASSOCIATES LLC
Active
Other names
Vanguard Medical Group - Lakefront
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5102
(773) 564-5101
Mailing address
20 BURTON HILLS BLVD, NASHVILLE, TN 37215-6197
(615) 665-6000
(615) 665-6184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1638544
BCBS - IL
IL
Enumeration date
10/09/2007
Last updated
03/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up