LAKESIDE EYE GROUP, S.C. (NPI# 1497954820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497954820 |
| Entity Type | Organization |
| Organization Name | LAKESIDE EYE GROUP, S.C. |
| Other Organization Name | TAUB EYE CENTER, S.C |
| Practice Address |
180 N Michigan Ave Suite 1900 Chicago IL 60601-7401 |
| Practice Telephone | 3125531818 |
| Practice Fax Number | 3126415503 |
| Mailing Telephone | 3125531818 |
| Mailing Fax Number | 3126415503 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | DR. SANJAY N RAO (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 3125531818 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 042007938 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP NUMBER FOR MEDICARE | 369060 | 01 |
| IL | 036102488 | 05 | |
| IL | BLUE CROSS BLUE SHIELD OF | 31601613 | 01 |
| Other Name | Type Code |
|---|---|
| Taub Eye Center, s.c | Former Legal Business Name - Organization |
| Street Address |
180 N MICHIGAN AVE SUITE 1900 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640355 | Robert W. Buchanan, M.d. S.c. | Psychiatry & Neurology | 180 N Michigan Ave, Suite 1010, Chicago, IL 60601-7401 | 2005-09-26 |
| 1689272692 | Jenny Feliciano | Counselor | 180 N Michigan Ave, Chicago, IL 60601-7401 | 2020-10-12 |
| 1639729338 | Arrie M Simpson | Counselor | 180 N Michigan Ave, Chicago, IL 60601-7401 | 2019-09-13 |
| 1275066094 | Elizabeth Klicker-nicklay | Counselor | 180 N Michigan Ave, Suite 1830, Chicago, IL 60601-7401 | 2017-04-08 |
| 1215478946 | Peter Shabad I | Psychoanalyst | 180 N Michigan Ave, Suite540, Chicago, IL 60601-7401 | 2017-03-14 |
| 1275074221 | Mindful Living Therapy, LLC | Marriage & Family Therapist | 180 N Michigan Ave, Suite 2200, Chicago, IL 60601-7401 | 2017-03-10 |
| 1326587429 | Jill Newberger,pc | Social Worker | 180 N Michigan Ave, Suite 1010, Chicago, IL 60601-7401 | 2017-02-22 |
| 1407394836 | Michigan Avenue Hearing Health P.C. | Otolaryngology | 180 N Michigan Ave, Suite 1616, Chicago, IL 60601-7401 | 2017-02-06 |
| 1992242564 | Heartland Psychological Services | Psychologist | 180 N Michigan Ave, Suite #2201, Chicago, IL 60601-7401 | 2017-01-20 |
| 1134662158 | Shawn Taylor | Psychologist | 180 N Michigan Ave, Suite 1820, Chicago, IL 60601-7401 | 2016-11-22 |
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| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.