ALVERNO LAKESIDE CORPORATION; NPI #1124021266

Contact Information

ALVERNO LAKESIDE CORPORATION

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461-1010

Phone: 708-756-1200
Fax: 708-481-5583
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for ALVERNO LAKESIDE CORPORATION

NPI # 1124021266

LBN Legal business name ALVERNO LAKESIDE CORPORATION

Authorized official JOHN SLYKAS - (MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/23/2005

Last updated 01/10/2011 - About 15 years ago

Identifiers

IL	License #	77967
IL	Other	1626513	BCBS PROVIDER NUMBER
IL	Other	590014070	MEDICARE RAILROAD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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