Organization
LAKESHORE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA NAYAK (ADMINISTRATOR)
(773) 761-6900
Entity
Organization
Contact information
Practice address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-6900
Mailing address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-6900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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