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Organization

LAKEVIEW PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY CHANG M.D. (PHYSICIAN/OWNER)
(773) 880-1738
Entity
Organization

Contact information

Practice address
1333 W BELMONT AVE STE 310, CHICAGO, IL 60657-5785
(773) 880-1738
(773) 472-7395
Mailing address
1333 W BELMONT AVE STE 310, CHICAGO, IL 60657-5785
(773) 880-1738
(773) 472-7395

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01633936
BCBS PROVIDER ID
IL
Enumeration date
01/24/2007
Last updated
12/02/2025
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