Lakeside Nephrology, Ltd.
NPI 1386807006ActiveOrganization· Specialist· Skokie, IL
Specialist in Skokie, Illinois, registered in NPPES in July 2008, part of Lakeside Nephrology, Ltd. The authorized official on file is Patricia Payne, Practice Manager.
Overview
| NPI | 1386807006 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lakeside Nephrology, Ltd. |
| NPI issued | Jul 2, 2008 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 36097354 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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