Provider Demographics
NPI:1124141627
Name:A.LAKHANI.M.D.S.C.
Entity type:Organization
Organization Name:A.LAKHANI.M.D.S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-848-9000
Mailing Address - Street 1:424 N AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2752
Mailing Address - Country:US
Mailing Address - Phone:708-848-9000
Mailing Address - Fax:708-848-9253
Practice Address - Street 1:424 N AUSTIN BLVD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2752
Practice Address - Country:US
Practice Address - Phone:708-848-9000
Practice Address - Fax:708-848-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD89343Medicare UPIN