Lakeshore Cco Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LAKESHORE CCO INC

Practice address

6960 N Bell Ave Apt 306
Chicago, IL 60645-4857

Phone

(773) 656-8396

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ciprian Oprisor

Title

Owner

Phone

(773) 656-8396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1710734561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 N BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454868",
            "telephone_number": "773-656-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 N BELL AVE APT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454857",
            "telephone_number": "773-656-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE CCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "OPRISOR",
        "authorized_official_first_name": "CIPRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-656-8396"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeshore Center for Behavioral Health, LLC
• Lakeshore Community Chiropractic Clinic, P.C.
• Lakeshore Counseling Group, PLLC
• Lakeshore Eye Physicians and Surgeons SC
• Lakeshore Home Visiting Physicians

• Non-emergency Medical Transport (VAN) in Chicago, IL
• Providers in Chicago, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.