LAKE MI MOBILE DOCTORS, P.C. (NPI# 1992870281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992870281 |
| Entity Type | Organization |
| Organization Name | LAKE MI MOBILE DOCTORS, P.C. |
| Other Organization Name | MOBILE DOCTORS OF CHICAGO PODIATRY |
| Practice Address |
3319 N Elston Ave Suite 100 Chicago IL 60618-5811 |
| Mailing Address |
3319 N Elston Ave Suite 200 Chicago IL 60618-5811 |
| Practice Telephone | 7737517200 |
| Practice Fax Number | 7735834401 |
| Mailing Telephone | 7737517200 |
| Mailing Fax Number | 7735834401 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | MR. TYSYN CONTRERAS (DIRECTOR, QUALITY ASSURANCE) |
| Authorized Official Telephone | 7737517200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Mobile Doctors of Chicago Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
| 1437106465 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-05-27 |
| 1992057566 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-10-08 |
| 1700950607 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-20 |
| 1205905916 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-07 |
| Street Address |
3319 N ELSTON AVE SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437106465 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-05-27 |
| 1184900029 | Ninos Danny Jando | Podiatrist | 3319 N Elston Ave, Suite # 200, Chicago, IL 60618 | 2011-10-24 |
| 1285946673 | Susan Nathan | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2010-07-14 |
| 1215185582 | Burak Emin Gezen | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2008-08-28 |
| 1063690469 | James Steven Fenoglio | Family Medicine | 3319 N Elston Ave, Suite 200, Chicago, IL 60618-5811 | 2008-02-07 |
| 1396928149 | Liping Zhang | Family Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2007-12-14 |
| 1033300504 | Michael Martin | Internal Medicine | 3319 N Elston Ave, Chicago, IL 60618 | 2007-08-08 |
| 1770773871 | Nandana Jasti | Family Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 | 2007-07-26 |
| 1316076946 | Glenn Alden Harrison | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2007-03-02 |
| 1073674081 | Brian E Bacardi | Podiatrist | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1932285509 | Moeed Ekbal | Podiatrist | 2400 N Lakeview Ave Apt 2703, Chicago, IL 60614-2741 | 2006-10-27 |
| 1487677076 | David T Hong | Podiatrist | 180 W Washington St, Suite 930, Chicago, IL 60602-3580 | 2006-07-25 |
| 1952394751 | Johnny Dan Parker | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2005-08-26 |
| 1669478640 | Andrew Benedict O'keefe Jr. | Podiatrist | 6374 N Lincoln Ave, Ste 314, Chicago, IL 60659-1275 | 2005-06-23 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1497152516 | My Doctor P C | Podiatrist | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | 2014-12-04 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1194062661 | Dr. Kaye Lagdaan, P.C. | Podiatrist | 4112 N Lincoln Ave, Chicago, IL 60618-3028 | 2013-01-03 |
| Find all providers in CHICAGO | ||||
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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.