| NPI | 1851454698 |
|---|---|
| Doing Business As | SMG LAKESIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN E. VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036103785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036059684) |
| 208000000X Pediatrics (Licence: IL 036046138) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-05-28 |