| NPI | 1184779373 |
|---|---|
| Doing Business As | LAKESIDE NEPHROLOGY, LTD. |
| Entity Type | Organization |
| Authorized Contact | PATRICIA PAYNE Office Manager 312-986-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-01-27 |