Lakeshore Infectious Diseases Consultant Corporation

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

LAKESHORE INFECTIOUS DISEASES CONSULTANT CORPORATION

Practice address

2525 S Michigan Ave
Chicago, IL 60616-2315

Phone

(847) 736-9340

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Syed M Ala, MD

Title

Owner

Phone

(847) 736-9340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1063140788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 LOBELIA CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "847-736-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE INFECTIOUS DISEASES CONSULTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ALA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-736-9340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Eye Physicians and Surgeons SC
• Lakeshore Home Visiting Physicians
• Lakeshore Home Visiting Physicians
• Lakeshore Hospitalist LLC
• Lakeshore Infectious Disease Associates LTD.
• Lakeshore Integrative Healthcare, LTD
• Lakeshore Obstetrics and Gynecology LLC
• Lakeshore Opco LLC
• Lakeshore Opco LLC
• Lakeshore Ophthalmology PLLC

• Infectious Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.