Lakeshore Womens Health Specialists SC

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

Organization subpart

No

Name

Rose Diakos, MDNPI 1699701342

Title

Partner

Phone

(773) 472-1444

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Diakos, MD

  • Obstetrics & Gynecology Physician
  • Saint John, IN
  • NPI 1699701342

  Obstetrics & Gynecology

  NPD Authorized official
• Shannon Michelle Davis, DO

  • Surgery Physician
  • Orland Park, IL
  • NPI 1215059506
  NPD (past)
• Sarah D Hans, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1720396203
  NPD (past)
• Elizabeth H Harvey, MD

  • Surgery Physician
  • Batavia, IL
  • NPI 1568576783
  NPD (past)
• Michaela Simcha Klein, D.O.

  • Surgery Physician
  • Arlington Heights, IL
  • NPI 1043330285
  NPD (past)
• Christian Malalis, M.D.

  • Vascular & Interventional Radiology Physician
  • Gurnee, IL
  • NPI 1447487095
  NPD (past)
• Obi T Okoye, M.D.

  • Surgery Physician
  • Naperville, IL
  • NPI 1942640693
  NPD (past)
• Kevin Louis Petermann, M.D.

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1588744650
  NPD (past)
• Sanjeev Kumar Pradhan, M.D.

  • Vascular Surgery Physician
  • Olympia Fields, IL
  • NPI 1750557658
  NPD (past)
• Bao-Lan Raikar, MD

  • Surgery Physician
  • Gurnee, IL
  • NPI 1841308830
  NPD (past)
• MHD Adeeb Sebai

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1740755321
  NPD (past)
• Gayle M Simmons, MD

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
  • NPI 1154482024

  Obstetrics & Gynecology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1620171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Pulmonary Associates, LLC
• Lakeshore Senior Services LLC
• Lakeshore Speech, LLC
• Lakeshore Surgery Center
• Lakeshore Surgery Center
• Lakeshorehealthcare
• Lakeside Community Committee
• Lakeside Community Committee
• Lakeside Dental Center
• Lakeside Dental Center

• All providers in Chicago, IL
• Obstetrics & Gynecology Physician in Illinois

• 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.