Provider Demographics
NPI:1275286171
Name:LSK SERVICES LLC
Entity Type:Organization
Organization Name:LSK SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAZIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:847-651-7733
Mailing Address - Street 1:495 W FALKIRK PL
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-1015
Mailing Address - Country:US
Mailing Address - Phone:847-651-7733
Mailing Address - Fax:
Practice Address - Street 1:411 E GENEVA RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2457
Practice Address - Country:US
Practice Address - Phone:847-651-7733
Practice Address - Fax:847-278-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center