NPIMap

Organization Active NPI

Lake Shore Medicar, Inc.

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1275733958
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
001 Issued in IL
Legal business name
LAKE SHORE MEDICAR, INC.
Practice address
2640 W Touhy Ave
Suite 211
Chicago, IL 60645-3198
Phone
(773) 973-4811
Fax
(773) 973-2614
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maria C Pamatmat
Title
President
Phone
(773) 973-4811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 001 IL
Non-emergency Medical Transport (VAN) 343900000X 001 IL Primary

Addresses

Primary practice location

2640 W Touhy Ave
Suite 211
Chicago, IL 60645-3198

Mailing address

2640 W Touhy Ave
Suite 211
Chicago, IL 60645-3198
Phone (773) 973-4811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275733958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W TOUHY AVE",
            "address_2": "SUITE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453198",
            "telephone_number": "773-973-4811",
            "fax_number": "773-973-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W TOUHY AVE",
            "address_2": "SUITE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453198",
            "telephone_number": "773-973-4811",
            "fax_number": "773-973-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE MEDICAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAMATMAT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-973-4811"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": "001",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.