Lake Forest Place – Multi-Specialty Clinic/Center, NPI 1063472520

Lake Forest Place is a healthcare provider. based in Evanston, Illinois. specializing in Multi-Specialty Clinic/Center. The NPI Number for Lake Forest Place is 1063472520

Main info

Organization
Name
Lake Forest Place
NPI
1063472520
Phone
(847) 492-4871
Address
3200 GRANT STREET
Authorized Official
ROBERT E LANDSMAN VICE PRESIDENT OF FINANCE
Enumeration Date
27 March 2006
Last Update Date
4 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lake Forest Place

  • Westminster Place, 3200, Grant Street, Central Street Evanston, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    ATTN ACCOUNTING DEPARTMENT

    EVANSTON, IL 60201

    Phone: (847) 492-4871

    Fax: (847) 570-3426

    Type: Mailing

  • Pembridge Drive, Lake Forest, Lake County, Illinois, 60045, United States

    LAKE FOREST, IL 60045

    Phone: (847) 604-6700

    Fax: (847) 570-3426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Reviews

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Frequently asked questions

What is Lake Forest Place's NPI number?
Lake Forest Place's NPI is 1063472520 — the number used across U.S. healthcare to identify this provider.
Is there an active status for Lake Forest Place?
For scheduling context, Lake Forest Place is shown as active in the registry.
How would a patient describe Lake Forest Place's focus?
For Lake Forest Place, the primary taxonomy reads as Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Lake Forest Place?
Directory geography for Lake Forest Place centers on Evanston, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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