Organization
LAKESHORE ANESTHESIA LTD
Active
Organization
LAKESHORE ANESTHESIA LTD
Active
Other names
Chicago Institute for Neuropathic Pain
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H ROCK MD (PRESIDENT)
(312) 809-6500
Entity
Organization
Contact information
Practice address
6145 N NORTHWEST HWY, CHICAGO, IL 60631-2127
(312) 809-6500
(312) 809-6501
Mailing address
6145 N NORTHWEST HWY, CHICAGO, IL 60631-2127
(312) 809-6500
(312) 809-6501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042619027
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7615080001
MEDICARE NSC
IL
Enumeration date
05/23/2007
Last updated
12/06/2022
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