Lakeview Family Medical Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036125844 Issued in IL

Legal business name

LAKEVIEW FAMILY MEDICAL CARE LLC

Practice address

7350 W College Dr Ste 201
Palos Heights, IL 60463-1190

Phone

(708) 424-9900

Fax

(708) 424-9901

NPI assigned

Jul 31, 2011

Organization subpart

No

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

Authorized official

Name

Mansour M Alshobaki, MDNPI 1386881688

Title

President

Phone

(708) 424-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Mansour Moh'D Alshobaki, MD

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1386881688
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1740568351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 KIRKCALDY CT",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632768",
            "telephone_number": "708-424-9900",
            "fax_number": "708-424-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR STE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631190",
            "telephone_number": "708-424-9900",
            "fax_number": "708-424-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-31",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ALSHOBAKI",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-424-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036125844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Kwak, PHARMD
• Louis Kyros
• Giulia Labellarte, APN-CNP
• Timothy Robert Ladewig
• James A Lagoni, PT
• Mona Lal, M.D.
• Sandra Alison Lamsma
• Domas Lapkus, MD
• Amber Larocco, LPC
• Carl J Laudando, DDS

• Family Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.