Organization
LAKESHORE CANCER CARE,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAM E KIM M.D. (PRESIDENT)
(847) 501-3927
Entity
Organization
Contact information
Practice address
5020 N ASHLAND AVE, CHICAGO, IL 60640-2880
(773) 506-0900
(773) 506-0909
Mailing address
1366 WINNETKA AVE, NORTHFIELD, IL 60093-3539
(847) 501-3927
(847) 501-3927
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
3651679
IL
Other
Enumeration date
03/10/2007
Last updated
12/10/2007
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