Lakeview Neurosurgery LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036111694 Issued in IL

Legal business name

LAKEVIEW NEUROSURGERY LLC

Practice address

246 E. Janata Blvd
Ste 135
Lombard, IL 60148

Phone

(630) 376-6274

Fax

(630) 376-6279

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Erin Danette Jackson

Title

Office Manager

Phone

(630) 376-6274

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan S Citow, MD

  • Neurological Surgery Physician
  • Libertyville, IL
  • NPI 1093703571
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1053428581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD",
            "address_2": "STE 135",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-376-6274",
            "fax_number": "630-376-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E. JANATA BLVD",
            "address_2": "STE 135",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-376-6274",
            "fax_number": "630-376-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-376-6274"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036111694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111694",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lab Werks Inc
• Kelly E Laban, LCPC
• Lactationmd, PLLC
• Althea Joyce Laihee
• Angela Lake, RN
• Gopal Lalmalani, MD
• Sheridan Lam, M.D.
• Susan M Lambert, RN
• Leroy Michael Lambey
• Jacob Landers, MA

• Neurological Surgery Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.