SOUTH LAKE MEDICAL SERVICES, LTD – Adult Day Care Clinic/Center, NPI 1407023849

SOUTH LAKE MEDICAL SERVICES, LTD is a healthcare provider. based in Chicago, Illinois. specializing in Adult Day Care Clinic/Center. The organization holds a License No. 036049708 (IL). The NPI Number for SOUTH LAKE MEDICAL SERVICES, LTD is 1407023849

Main info

Organization
Name
SOUTH LAKE MEDICAL SERVICES, LTD
NPI
1407023849
Phone
(773) 375-1900
Address
2621 E 75TH ST
Authorized Official
MARIA C THACHENKERY PRESIDENT M.D
Enumeration Date
14 May 2008
Last Update Date
14 May 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTH LAKE MEDICAL SERVICES, LTD

  • MetroPCS, 2621-2631, East 75th Street, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States

    CHICAGO, IL 606493705

    Phone: (773) 375-1900

    Fax: (773) 375-8279

    Mailing address matches the actual address.

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.

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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 60649)

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Reviews

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Frequently asked questions

Does SOUTH LAKE MEDICAL SERVICES, LTD have a public NPI I can cite?
Public records show SOUTH LAKE MEDICAL SERVICES, LTD under NPI 1407023849.
Is SOUTH LAKE MEDICAL SERVICES, LTD currently accepting referrals based on NPI status?
Registry metadata lists SOUTH LAKE MEDICAL SERVICES, LTD as active.
What services align with SOUTH LAKE MEDICAL SERVICES, LTD's listing?
SOUTH LAKE MEDICAL SERVICES, LTD's public classification highlights Adult Day Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to SOUTH LAKE MEDICAL SERVICES, LTD?
SOUTH LAKE MEDICAL SERVICES, LTD shows a connection to Chicago, Illinois in registry-derived data.
Why is information missing for SOUTH LAKE MEDICAL SERVICES, LTD?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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