Lake Medical Clinic SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036.053634 Issued in IL

Legal business name

LAKE MEDICAL CLINIC SC

Practice address

564 Barron Blvd
Suite C
Grayslake, IL 60030-3355

Phone

(847) 223-4440

Fax

(847) 223-0149

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Rajindar Singh, MD

Title

Authorized Official

Phone

(847) 223-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1699760801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600300263",
            "telephone_number": "847-223-4440",
            "fax_number": "847-223-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 BARRON BLVD",
            "address_2": "SUITE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303355",
            "telephone_number": "847-223-4440",
            "fax_number": "847-223-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MEDICAL CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJINDAR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-223-4440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.053634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053634",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey M Kwak, APRN FNP-BC
• Julie Kwasiborski
• Lake County Counseling Center
• Lake County Physical Medicine, S.C.
• Lake Forest Endoscopy Center LLC
• Lee Anne Lamadrid, LCSW
• Mitchell Lambert
• Nancy Lambert, RDN, LDN
• Amy Larish
• Alexis Laubersheimer, FNP

• Cardiovascular Disease Physician in Grayslake, IL
• Providers in Grayslake, 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 Jul 17, 2015; 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.