Lakeshore Premium Healthcare, Inc

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

036-131263 Issued in IL

Legal business name

LAKESHORE PREMIUM HEALTHCARE, INC

Practice address

3000 N Halsted St
Suite 609
Chicago, IL 60657-5188

Phone

(949) 584-2059

Fax

(949) 679-9174

NPI assigned

Oct 1, 2012

Last updated

Oct 8, 2012By 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

Dr. Julie Thomas, MDNPI 1053703520

Title

Physician

Phone

(949) 584-2059

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Julie Ann Thomas, M.D.

  • Psychiatry Physician
  • Hemet, CA
  • NPI 1053703520
  Authorized official Same address or phone

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1730430703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "949-584-2059",
            "fax_number": "949-679-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "949-584-2059",
            "fax_number": "949-679-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PREMIUM HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-584-2059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-131263",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036-131263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Obstetrics and Gynecology LLC
• Lakeshore Opco LLC (Aperion Care Lakeshore)
• Lakeshore Opco LLC (Aperion Care Lakeshore)
• Lakeshore Ophthalmology PLLC
• Lakeshore Ophthalmology, PLLC
• Lakeshore Psychiatry PLLC
• Lakeshore Psychological Services, PLLC
• Lakeshore Pulmonary Associates, LLC
• Lakeshore Senior Services LLC
• Lakeshore Speech, LLC

• Sleep Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Sleep Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.