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Lake North Institute LLC

NPI 1073809000ActiveOrganization· Specialist· Glenview, IL

Specialist in Glenview, Illinois, registered in NPPES in June 2011. The authorized official on file is Alexander Gorodetsky, M.D, Physician.

Overview

NPI1073809000
StatusActive
Entity typeOrganization
NPI issuedJun 28, 2011
Last updated in NPPESSep 1, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X036096374IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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