Provider Demographics
NPI:1720374283
Name:LAKEVIEW IMMEDIATE CARE LLC
Entity Type:Organization
Organization Name:LAKEVIEW IMMEDIATE CARE LLC
Other - Org Name:AAYU CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHIJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-899-0668
Mailing Address - Street 1:1645A W SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2139
Mailing Address - Country:US
Mailing Address - Phone:773-227-3669
Mailing Address - Fax:773-687-8366
Practice Address - Street 1:1645 W SCHOOL ST STE A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2157
Practice Address - Country:US
Practice Address - Phone:773-899-0668
Practice Address - Fax:773-687-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty