Lake Shore Internal Medicine SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036059341 Issued in IL

Legal business name

LAKE SHORE INTERNAL MEDICINE SC

Doing business as

Paru K Sharma

Practice address

7505 Grand Ave
Gurnee, IL 60031-1551

Phone

(847) 245-8448

Fax

(847) 245-7070

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Paru K Sharma, MDNPI 1740215102

Title

Ceo

Phone

(847) 245-8448

Specialties & licenses 2

Addresses

Other names 1

• Paru K Sharma Doing business as

Locations

Practitioners 1

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

• Paru Kutty Sharma, MD

  • Internal Medicine Physician
  • Long Grove, IL
  • NPI 1740215102
  NPD (past) Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1114924552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-245-8448",
            "fax_number": "847-245-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311551",
            "telephone_number": "847-245-8448",
            "fax_number": "847-245-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE INTERNAL MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PARU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-245-8448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "03606886",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036059341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paru K Sharma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake County Vein Specialists, SC
• Lake Harbor Behavioral Health, LLC
• Lake Heart Specialists (Drs. Jajeh & Koch SC)
• Lake Shore Gastroenterolgy SC
• Lake Shore Gastroenterology
• Lakeshore Heart & Vascular Specialists
• Rosanna Garcia Lardizabal
• Fabian David Latocha, D.D.S
• Jennifer Lesley Lawson, MA, LPC
• Joerlyn Josiephine Lazo, DPT

• Internal Medicine Physician in Gurnee, IL
• Providers in Gurnee, 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 Jul 21, 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.