OrganizationActive
Lakeshore Cancer Care,ltd
NPI 1689706111 · Radiation Oncology Physician · Chicago, IL
Provider details
- NPI number
- 1689706111
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nam Kim, President(847) 501-3927
- License
- 3651679 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5020 N Ashland Ave
Chicago, IL 60640-2880
Phone: (773) 506-0900
Fax: (773) 506-0909
Street-level locationGet directions
Mailing address
1366 Winnetka Ave
Northfield, IL 60093-3539
Registry dates
- Enumerated
- 2007-03-10
- Last updated
- 2007-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.