Lakeside Radiologists, SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAKESIDE RADIOLOGISTS, SC

Practice address

5025 N Paulina St
Chicago, IL 60640-2772

Phone

(773) 271-9040

Fax

(773) 271-2010

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By 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. Young S Lee, MDNPI 1710078415

Title

Owner

Phone

(219) 322-7042

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.

• Young S Lee, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1710078415
  Authorized official Same address or phone

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174644389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604380218",
            "telephone_number": "219-322-7042",
            "fax_number": "219-322-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-271-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE RADIOLOGISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-322-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Nephrolgoy LTD/Prarie
• Lakeside Nephrology, LTD.
• Lakeside Nephrology, LTD.
• Lakeside Oral & Implant Surgery Institute, PC
• Lakeside Psychiatry
• Lakeside Specialized Pediatric Occupational Therapy PLLC
• Lakeside Spine and Wellness Inc
• Lakeview Anesthesia LLC
• Lakeview Center for Psychotherapy
• Lakeview Eyecare Center LTD

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.