PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC (NPI# 1932672391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932672391 |
| Entity Type | Organization |
| Organization Name | PIPELINE - LAKEFRONT MEDICAL ASSOCIATES, LLC |
| Practice Address |
3 Erie Ct Oak Park IL 60302-2519 |
| Mailing Address |
4646 N Marine Dr Chicago IL 60640-5759 |
| Practice Telephone | 7087631490 |
| Mailing Telephone | 7738788700 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JAMES EDWARDS (CEO) |
| Authorized Official Telephone | 5704368540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A.I. Burdick Family Medicine Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1407329782 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1350 W Lake St, Melrose Park, IL 60160-4042 | 2019-01-09 |
| 1720551096 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 1 Erie Ct Ste 7000, Oak Park, IL 60302-2567 | 2019-01-09 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1326511619 | Pipeline - Lakefront Medical Associates, LLC | Preventive Medicine | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2019-01-09 |
| 1366915647 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 8330 Grand Ave, River Grove, IL 60171-1435 | 2019-01-09 |
| 1841763125 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 7411 Lake St Ste 1120, River Forest, IL 60305-1882 | 2019-01-09 |
| 1598238867 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2019-01-09 |
| 1013480359 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 4700 N Marine Dr Ste 300, Chicago, IL 60640-7975 | 2019-01-09 |
| 1912470295 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 7420 Central Ave, River Forest, IL 60305-1800 | 2019-01-09 |
| Street Address |
3 ERIE CT |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876077 | Paula B Green | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2005-07-28 |
| 1558987883 | Encore Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | 3 Erie Ct, Oak Park, IL 60302-2519 | 2020-06-23 |
| 1003475294 | Karen Ann B Denkov | Nurse Practitioner | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-06-11 |
| 1962067165 | Alteon Health Illinois, Pllc | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-05-03 |
| 1013477926 | Charles Kersten | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-03-25 |
| 1003374141 | Allison Byrne | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302 | 2019-03-07 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1255807277 | Pipeline-west Suburban Medical Center, LLC | Psychiatric Unit | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
| 1538635545 | Pipeline-west Suburban Medical Center, LLC | Skilled Nursing Facility | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
| 1821592049 | Ricky Cui | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225346885 | Kinfe Gebeyehu | Clinic/Center | 1125 Clinton Ave, Oak Park, IL 60304-1825 | 2010-09-16 |
| 1295900322 | Urban Home Physicians, Inc. | Clinic/Center | 408 Madison St, Oak Park, IL 60302-4091 | 2008-04-29 |
| 1154376234 | Dacia Medical Professional Corporation | Clinic/Center | 917 S Oak Park Ave, Suite B, Oak Park, IL 60304-1950 | 2006-05-24 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1437544350 | Dabaja Medical Consulting Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2015-03-30 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1790115517 | Datta Sambare Md Sc | Clinic/Center | 6957 North Ave, Oak Park, IL 60302-1068 | 2013-11-14 |
| 1861750036 | D.o.c, Family Practice, S.c. | Clinic/Center | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2012-04-25 |
| 1700180171 | Oak Park Pediatrics Ltd. | Clinic/Center | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2010-12-28 |
| 1649573882 | Mary L. Kelly, D.o., S.c. | Clinic/Center | 1125 Westgate St, Oak Park, IL 60301-1007 | 2010-12-09 |
| Find all providers in OAK PARK | ||||
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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.