Organization
LAKESHORE HOME VISITING PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETTE MCKENZIE (OWNER)
(312) 983-0583
Entity
Organization
Contact information
Practice address
5232 N SHERIDAN RD, CHICAGO, IL 60640-2513
(312) 983-0583
Mailing address
5232 N SHERIDAN RD, CHICAGO, IL 60640-2513
(312) 983-0583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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