Lakeshore Heart & Vascular Specialists

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036124341 Issued in IL

Legal business name

LAKESHORE HEART & VASCULAR SPECIALISTS

Practice address

3915 Oglesby Ave
Gurnee, IL 60031

Phone

(847) 336-1600

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Jamil B DihuNPI 1154508570

Title

President

Phone

(847) 336-1600

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.

• Jamil B Dihu, D.O.

  • Cardiovascular Disease Physician
  • Evanston, IL
  • NPI 1154508570
  NPD Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1346659596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 OGLESBY AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313358",
            "telephone_number": "847-336-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 OGLESBY AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-336-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HEART & VASCULAR SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "DIHU",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-336-1600"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036124341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Harbor Behavioral Health, LLC
• Lake Heart Specialists
• Lake Shore Gastroenterolgy SC
• Lake Shore Gastroenterology
• Lake Shore Internal Medicine SC
• Rosanna Garcia Lardizabal
• Fabian David Latocha, D.D.S
• Jennifer Lesley Lawson, MA, LPC
• Joerlyn Josiephine Lazo, DPT
• Christine S Lee, D.D.S.

• Cardiovascular Disease Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.