LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. – NPI #1528237765
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. is a provider located in OAK PARK, IL. NPPES has assigned the NPI number 1528237765 to LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. on February 21, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 12 years ago on Nov 26, 2014. 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 LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. below.

NPI Profile for
LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.

NPI Number
1528237765
Enumeration Date

(more than 18 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
LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.
Primary location
1 ERIE COURT
SUITE 3100
OAK PARK, IL 60614-8542
Phone: (708) 763-8248 Fax: (708) 383-7875
Mailing address
PO BOX 14905
CHICAGO, IL 60614-8542
Phone: (708) 763-8248 Fax: (708) 383-7875
Organization Subpart
No
Authorized Official
KAMRAN HEYDARPOUR
OWNER
Phone: (708) 763-8248
Updated
Identifiers

Identifiers for LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036091055
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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
IL 336-052655

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.