RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC – NPI #1912470105
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1912470105 to RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC on January 10, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC is also known by the name CHMG - EDGEWATER. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jan 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC below.

NPI Profile for
RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC

NPI Number
1912470105
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC
Other Name: CHMG - EDGEWATER
Other name(s)
All associated names:
Doing Business As (dba)
Chicago Health Medical Group
Other Name
CHMG - Edgewater
Primary location
6201 NORTH BROADWAY
CHICAGO, IL 60660
Phone: (844) 533-2464 Fax:
Mailing address
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone: Fax:
Organization Subpart
No
Authorized Official
MANOJ PRASAD
CEO
Phone: (708) 763-6700
Updated
Certification Date
Jan 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.