LS Medical Group,L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036093798 Issued in IL

Legal business name

LS MEDICAL GROUP,L.L.C.

Practice address

1515 E Lake St
Suite 208
Hanover Park, IL 60133-4896

Phone

(312) 576-3678

Fax

(866) 401-3217

NPI assigned

Oct 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarada Deshpande, MD

Title

President

Phone

(312) 576-3678

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224892800000",
    "number": "1033361647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAMBETH CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231723",
            "telephone_number": "312-576-3678",
            "fax_number": "866-401-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST",
            "address_2": "SUITE 208",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334896",
            "telephone_number": "312-576-3678",
            "fax_number": "866-401-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS MEDICAL GROUP,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-25",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "SARADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-576-3678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.