Organization
LAKEVIEW MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY NECKRYSH MD (DIRECTOR)
(312) 651-2329
Entity
Organization
Contact information
Practice address
20 N CLARK ST STE 3300, CHICAGO, IL 60602-5089
(312) 561-2329
(312) 577-0800
Mailing address
20 N CLARK ST STE 3300, CHICAGO, IL 60602-5089
(312) 561-2329
(312) 577-0800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
11/27/2020
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