NPIMap

Organization Active NPI

Lakeshore Surgery Center

Doing business as Lakeshore Laparoscopic Bariatric Center

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
National Provider Identifier
1881863637
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAKESHORE SURGERY CENTER
Doing business as
Lakeshore Laparoscopic Bariatric Center
Practice address
7200 N Western Ave
Chicago, IL 60645-1812
Phone
(773) 761-6900
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Raghu Nayak
Title
President
Phone
(773) 761-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7200 N Western Ave
Chicago, IL 60645-1812

Mailing address

7200 N Western Ave
Chicago, IL 60645-1812
Phone (773) 761-6900

Other names 1

  • LAKESHORE LAPAROSCOPIC BARIATRIC CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Laparoscopic Bariatric Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1881863637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-761-6900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESHORE LAPAROSCOPIC BARIATRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.