Lakeshore Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKESHORE SURGERY CENTER

Practice address

7200 N Western Ave
Chicago, IL 60645-1812

Phone

(773) 761-6900

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anita Nayak

Title

Administrator

Phone

(773) 761-6900

Specialties & licenses 1

Addresses

Tax ID family

Lakeshore Laparoscopic Bariatric Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeshore Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
  • NPI 1881863637
  NPD tax ID

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255533261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-761-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Psychiatry PLLC
• Lakeshore Psychological Services, PLLC
• Lakeshore Pulmonary Associates, LLC
• Lakeshore Senior Services LLC
• Lakeshore Speech, LLC
• Lakeshore Surgery Center
• Lakeshore Womens Health Specialists SC
• Lakeshorehealthcare
• Lakeside Community Committee
• Lakeside Community Committee

• All providers in Chicago, IL
• Ambulatory Surgical Clinic/Center 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.