VANGUARD MEDICAL GROUP - LAKEFRONT
NPI 1144418633
Internal Medicine in Chicago, IL
NPI Status: Active since October 09, 2007
Contact Information
4646 N MARINE DR
CHICAGO, IL
ZIP 60640
Phone: (773) 564-5102
Fax: (773) 564-5101
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 14D2017169
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-05-2026
About VANGUARD MEDICAL GROUP - LAKEFRONT
This page provides the complete NPI Profile along with additional information for Vanguard Medical Group - Lakefront, an internist established in Chicago, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1144418633 assigned on October 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Vanguard Medical Group - Lakefront operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Vanguard Medical Group - Lakefront. The authorized official of this NPI record is Craig C. Armin (Vp Of Govt Programs, Tenet)
- NPI
- 1144418633
- Provider Legal Name
- LAKEFRONT MEDICAL ASSOCIATES LLC
- Other Organization Name
- VANGUARD MEDICAL GROUP - LAKEFRONT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4646 N MARINE DR CHICAGO, IL 60640
- Location Phone
- (773) 564-5102
- Location Fax
- (773) 564-5101
- Mailing Address
- 20 BURTON HILLS BLVD NASHVILLE, TN 37215
- Mailing Phone
- (615) 665-6000
- Mailing Fax
- (773) 564-5101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 03-18-2021
- Code Navigator
An internist like Vanguard Medical Group - Lakefront is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 208800000X | Allopathic & Osteopathic Physicians | Urology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1638544 | OTHER (01) | IL | BCBS - IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2017169
- Facility Type
- Physician Office
- Certificate Effective Date
- December 06, 2024
- Certificate Expiration Date
- December 05, 2026
- Laboratory Director
- STUART KRAUSS M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vanguard Medical Group - Lakefront to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 4 | 1 | 8 | 6 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 8 | 1 | 16 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 8 + 1 + 1 + 6 + 6 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1144418633 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407850969 | DR. PETER A HANCOCK DPM Individual | Podiatrist (Foot & Ankle Surgery) | 4646 N MARINE DR STE C-6500 CHICAGO, IL 60640 (773) 784-8102 |
| 1609818392 | SABAH A KHAN MD SC Organization | Internal Medicine | 4646 N MARINE DR SUITE 6200C CHICAGO, IL 60640 (773) 564-5313 |
| 1447294640 | ACUTE CARE SPECIALISTS, INC. Organization | Emergency Medicine | 4646 N MARINE DR CHICAGO, IL 60640 (773) 878-8700 |
| 1194740258 | DEBORAH WEBER M.D. Individual | Emergency Medicine | 4646 N MARINE DR CHICAGO, IL 60640 (773) 878-8700 |
| 1700804291 | DAVID BALLING MD Individual | Internal Medicine (Infectious Disease) | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-6025 |
| 1033129507 | SHAMEEM SULTANA MD Individual | Anesthesiology | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5966 |
| 1649280660 | KATHRINE ANN KINNE RD, LDN Individual | Dietitian, Registered | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5920 |
| 1619989498 | DR. JOHN MICHAEL CHERF MD Individual | Specialist | 4646 N MARINE DR SUITE 3A CHICAGO, IL 60640 (800) 843-0355 |
| 1134232135 | MARINA KUZNETSOVA MD SC Organization | Radiology (Therapeutic Radiology) | 4646 N MARINE DR RADIATION ONCOLOGY DEPARTMENT CHICAGO, IL 60640 (773) 564-5070 |
| 1598867384 | MARINE ANESTHESIA LLC Organization | Anesthesiology | 4646 N MARINE DR CHICAGO, IL 60640 (773) 878-8700 |
| 1134225865 | DR. HENRY A. FINN M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5881 |
| 1194813899 | SANDRA ZAGORIN RD, LDN Individual | Dietitian, Registered | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5920 |
| 1891875720 | NATALIA ANIKIN MD PC Organization | Dermatology | 4646 N MARINE DR B 125 CHICAGO, IL 60640 (773) 572-0032 |
| 1417038043 | DR. DAVID D. DEUTSCH M.D. Individual | Obstetrics & Gynecology | 4646 N MARINE DR SUITE B-5000 GYNECOLOGY CHICAGO, IL 60640 (773) 564-5430 |
| 1518017763 | RONALD J COELHO MD Individual | Anesthesiology | 4646 N MARINE DR CHICAGO, IL 60640 (773) 878-8700 |
| 1184770208 | YEVGENY TSYRULNIKOV M.D. Individual | Internal Medicine | 4646 N MARINE DR 4BLUM CHICAGO, IL 60640 (773) 506-4695 |
| 1184741167 | MS. PAULETTE A WEST MS,RD,LDN Individual | Dietitian, Registered | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5919 |
| 1891812178 | ADRIANA HALL CRNA Individual | Nurse Anesthetist, Certified Registered | 4646 N MARINE DR CHICAGO, IL 60640 (773) 878-8700 |
| 1144340308 | J I GOLDMAN MD PC Organization | Internal Medicine | 4646 N MARINE DR B 125 CHICAGO, IL 60640 (773) 572-0032 |
| 1629292917 | ZLATA JANICIJEVIC PA Individual | Physician Assistant | 4646 N MARINE DR CHICAGO, IL 60640 (773) 564-5529 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144418633, enumerated in the NPI registry as an "organization" on October 09, 2007
The provider is located at 4646 N Marine Dr Chicago, Il 60640 and the phone number is (773) 564-5102
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2017169 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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