Organization
KISHORE LAKHANI MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN B HESTER II (BILLER)
(773) 827-7000
Entity
Organization
Contact information
Practice address
2500 WEST HIGGINS ROAD, SUITE 330, HOFFMAN ESTATES, IL 60169-7207
(847) 882-6060
(847) 882-6061
Mailing address
PO BOX 696, BLOOMINGDALE, IL 60108-0696
(847) 882-6060
(847) 882-6061
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036061273
IL
207V00000X
Obstetrics & Gynecology Physician
36061273
IL
207VX0000X
Obstetrics Physician
036061273
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061273
—
IL
01
—
2201417
BLUE SHIELD #
IL
Enumeration date
04/09/2007
Last updated
01/13/2011
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