Organization Active NPI

Lakefront Medical Partners, PC

  • Internal Medicine Physician
  • Rosemont, IL
National Provider Identifier
1104773589
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAKEFRONT MEDICAL PARTNERS, PC
Practice address
9400 W Higgins Rd
Rosemont, IL 60018-4974
Phone
(312) 265-4792
NPI assigned
Mar 13, 2026
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Jonathan Snipes
Title
Owner
Phone
(213) 827-3038

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Counseling Psychologist 103TC1900X
Internal Medicine Physician 207R00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

9400 W Higgins Rd
Rosemont, IL 60018-4974

Mailing address

9400 W Higgins Rd
Rosemont, IL 60018-4974
Phone (312) 265-4792

National Provider Directory

National Provider Directory

Locations

9400 W Higgins Rd
Rosemont, IL 60018
Phone (312) 265-4792

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1104773589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 W HIGGINS RD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184974",
            "telephone_number": "312-265-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 W HIGGINS RD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184974",
            "telephone_number": "312-265-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT MEDICAL PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-827-3038"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.