Lakeview Medical Center and Consultants, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKEVIEW MEDICAL CENTER AND CONSULTANTS, LTD.

Practice address

3046 N. Ashland Ave.
Chicago, IL 60657-3034

Phone

(773) 528-5851

Fax

(773) 528-9790

NPI assigned

Oct 29, 2008

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Amistoso Borda, M.D.NPI 1891782447

Title

President/Medical Director

Phone

(773) 528-5851

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgar Amistoso Borda, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891782447
  Authorized official Same address or phone

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1114170537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 N. ASHLAND AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573034",
            "telephone_number": "773-528-5851",
            "fax_number": "773-528-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 N. ASHLAND AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573034",
            "telephone_number": "773-528-5851",
            "fax_number": "773-528-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL CENTER AND CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BORDA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "AMISTOSO",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-528-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeview Family Chiropractic, LLC
• Lakeview Health Network LLC
• Lakeview Home Dialysis LLC
• Lakeview Immediate Care LLC (Aayu Clinics)
• Lakeview Life Rising (Shen Shen Health and Harmony)
• Lakeview Medical, LLC
• Lakeview Nursing and Rehabilitation Centre Inc
• Lakeview Pediatrics, LLC
• Lakeview Physical Medicine Limited
• Lakeview Plastic Surgery, LLC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 29, 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.