Lake Forest Cardiology LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKE FOREST CARDIOLOGY LLC

Practice address

611 Hunter LN
Lake Forest, IL 60045-4905

Phone

(847) 615-2273

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Krishnaswami Sriram, MD

Title

Member

Phone

(847) 615-2273

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1922342245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HUNTER LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454905",
            "telephone_number": "847-615-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HUNTER LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454905",
            "telephone_number": "847-615-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "SRIRAM",
        "authorized_official_first_name": "KRISHNASWAMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-615-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex B Labby, MD
• Kevin M Lage
• Colleen Marie Lahendro, APRN, CNP
• Lake County Crisis Center for the Prevention and Treatment of Domestic
• Lake Forest Cardiology
• Lake Forest Comm H S Dist 115
• Lake Forest Dental Associates
• Lake Forest Dental Associates, PC
• Lake Forest Ear Nose and Throat LTD
• Lake Forest Hearing Professionals, LLC

• Internal Medicine Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.