Lakeshore P.e.t Imaging, Llc.

Specialty details in registry · Oak Lawn, IL

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At a glance

4932 W 95Th St, Oak Lawn, IL 60453-2504

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

4932 W 95Th St
Oak Lawn, IL 60453-2504
Professional details: NPI, taxonomy & registry record
NPI1790870699
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM2500X
Enumeration date
Oct 4, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM2500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4932 W 95Th St
Oak Lawn, IL 60453-2504
Phone
(708) 499-9700
Fax
(708) 499-9797
Mailing address
4932 W 95TH ST

OAK LAWN, IL 604532504
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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