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Organization

LAKESHORE SURGERY CENTER

Active
Other names
LAKESHORE LAPAROSCOPIC BARIATRIC CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
RAGHU NAYAK (PRESIDENT)
(773) 761-6900
Entity
Organization

Contact information

Practice address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-6900
Mailing address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-6900

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/26/2008
Last updated
02/26/2008
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