Organization
LAKE STREET FAMILY PHYSICIANS SC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BELL (PRACTICE MANAGER)
(708) 524-8600
Entity
Organization
Contact information
Practice address
1010 W LAKE ST, SUITE 500, OAK PARK, IL 60301
(708) 524-8600
(708) 524-8147
Mailing address
PO BOX 799, OAK PARK, IL 60303
(708) 524-8600
(708) 524-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042618366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634822
BCBS
IL
01
—
DD3406
MEDICARE RAILROAD
IL
Enumeration date
11/16/2006
Last updated
02/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us