Lake Cook Surgical Associates PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

LAKE COOK SURGICAL ASSOCIATES PC

Practice address

1600 Dempster St
Suite 102
Park Ridge, IL 60068-1109

Phone

(847) 635-9006

NPI assigned

Aug 4, 2005

Organization subpart

No

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

Authorized official

Name

Janice R. Klich, M.D.

Title

President

Phone

(847) 635-9006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1801897434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST",
            "address_2": "SUITE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681109",
            "telephone_number": "847-635-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COOK SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "KLICH",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-635-9006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Farbisz Lacey, PH.D.
• Sarah Marie Lacost Youskievicz, MD
• Jennifer Laflamme, DO
• James B Lago, DDS/MD
• Elizabeth Karnes Lakani, APN
• Aditya Lakkamsani, DO
• Mahak Lalani, DPM
• Jeremy Kellen Lalla, MD
• Sonia Lally-Singh
• Justin Lam, D.O

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.