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General NPI Number Information
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NPI Number | 1700931136
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Entity Type | Organization
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Legal Business Name | LAKEVIEW PEDIATRICS, LLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1333 W BELMONT AVE STE 310
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City | CHICAGO
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State | IL
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Zip | 60657-5785
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Country | US
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Telephone | 773-880-1738
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Fax | 773-472-7395
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Provider Business Mailing Address
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Address Line | 1333 W BELMONT AVE STE 310
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City | CHICAGO
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State | IL
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Zip | 60657-5785
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Country | US
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Telephone | 773-880-1738
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Fax | 773-472-7395
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | AUDREY CHANG
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Credential | M.D.
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Telephone | 773-880-1738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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