NPIMap

Organization Active NPI

Lakeshore Womens Health Specialists SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1528094869
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAKESHORE WOMENS HEALTH SPECIALISTS SC
Practice address
1460 N Halsted
Suite 503
Chicago, IL 60642-2613
Phone
(773) 472-1444
Fax
(773) 472-4424
NPI assigned
Jun 25, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Rose Diakos, MDNPI 1699701342
Title
Partner
Phone
(773) 472-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1460 N Halsted
Suite 503
Chicago, IL 60642-2613

Mailing address

1460 N Halsted
Suite 503
Chicago, IL 60642-2613
Phone (773) 472-1444

National Provider Directory

National Provider Directory

Locations

1460 N Halsted St
Chicago, IL 60642
Phone (312) 227-2800

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1528094869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422613",
            "telephone_number": "773-472-1444",
            "fax_number": "773-472-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422613",
            "telephone_number": "773-472-1444",
            "fax_number": "773-472-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE WOMENS HEALTH SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "DIAKOS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-472-1444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "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 Jan 6, 2010; 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.