Lake Cicero Clinic, S.c.
NPI 1336498062 · Internal Medicine Physician · Chicago, IL
Lake Cicero Clinic, S.c. is a Internal Medicine Physician organization in Chicago, IL (NPI 1336498062).
Provider details
- NPI number
- 1336498062
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gurcharan Randhawa, Owner - Physician(773) 378-8100
- License
- 036085519 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Cicero Clinic
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2012-09-10
Frequently asked questions
- What is Lake Cicero Clinic, S.c.'s NPI number?
- Lake Cicero Clinic, S.c.'s National Provider Identifier (NPI) is 1336498062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Cicero Clinic, S.c.?
- Lake Cicero Clinic, S.c. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Cicero Clinic, S.c. located?
- Lake Cicero Clinic, S.c.'s practice location on file with NPPES is 4801 W Lake St, Chicago, IL 60644-2609.
- What is Lake Cicero Clinic, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Cicero Clinic, S.c. is (773) 378-8100.
- Who is the authorized official for Lake Cicero Clinic, S.c.?
- The authorized official listed on Lake Cicero Clinic, S.c.'s NPPES record is Gurcharan Randhawa, Owner - Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Cicero Clinic, S.c.'s NPI active?
- Yes — Lake Cicero Clinic, S.c.'s NPI (1336498062) is active in the NPPES registry as of the last update on 2012-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.