Lake Shore Pediatrics, Ltd
Pediatrics
Lake Shore Pediatrics, Ltd is a Lake Forest, Illinois based Pediatric center with medical specialization in
General Pediatrics.
It is located at
900 N Westmoreland Rd, Suite 106, Lake Forest, Illinois - 60045-1674. They can be contacted on phone at
847-615-4654 and fax number 847-615-1708.
NPI number (Unique professional ID) for Lake Shore Pediatrics, Ltd is
1003011628 which was assigned by NPPES on 15 Jun, 2007 and it was last updated on 22 Aug, 2020.
Lake Shore Pediatrics, Ltd license number is
36065837 for Pediatrics (208000000X) in Illinois.
Lake Shore Pediatrics, Ltd is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lake Shore Pediatrics, Ltd basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lake Shore Pediatrics, Ltd |
|---|
Business Address:
Lake Shore Pediatrics, Ltd address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 900 N Westmoreland Rd, Suite 106
Lake Forest, IL, 60045-1674
United States |
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| Phone Number : | 847-615-4654 |
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| Fax Number : | 847-615-1708 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003011628 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Jun, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Dianewheeler Fondriest |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | MANAGING PARTNER |
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| Phone Number : | 847-615-4654 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Shore Pediatrics, Ltd are as mentioned. Primary taxonomy code for Lake Shore Pediatrics, Ltd is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 36065837 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 900 N Westmoreland Rd, Suite 106
Lake Forest, IL, 60045-1674
United States |
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| Phone Number : | 847-615-4654 |
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| Fax Number : | 847-615-1708 |
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Business Location:
Patients can refer following map for directions to
Lake Shore Pediatrics, Ltd practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.