Eden Lake, M.D

ActiveIndividual ProviderInternal Medicine
NPI issued: July 15, 2013

Quick Facts

NPI Number
1578904892
TypeIndividual
StatusActive
SpecialtyInternal Medicine
Taxonomy207R00000X — Internal Medicine
Phone
(708) 485-1271
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1578904892)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 15, 2013)
Data source: CMS NPPES

Provider Overview

EDEN LAKE, M.D is a Internal Medicine provider based in La Grange Park, IL who has been registered with CMS since 2013. They are affiliated with Loyola University Medical Center. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1578904892
Provider TypeIndividual Provider
GenderFemale
CredentialM.D
StatusActive
Enumeration DateJuly 15, 2013

Practice Location

CityLa Grange Park
StateIL
ZIP Code60526-5622
Phone(708) 485-1271

Specialties & Licenses

★ Primary
SpecialtyInternal Medicine
Taxonomy Code207R00000X
License StateIL

Mailing Address

CityLa Grange Park
StateIL
ZIP Code60526-5622
Phone(708) 485-1271
Same as practice location

Hospital & Organization Affiliations

🏢

Loyola University Medical Center

📍 Maywood, IL

Hospital NPIY

How to Use This NPI

📋

For Insurance Billing

Use NPI 1578904892 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1578904892for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1578904892 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

📊
213,549
Internal Medicine Providers in the US

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People Also Ask

What is Eden Lake's NPI number?
Eden Lake's NPI number is 1578904892, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Eden Lake's NPI currently active?
Yes, Eden Lake's NPI status is Active as of the latest CMS NPPES database updates.
What does Eden Lake specialize in?
Eden Lake specializes in Internal Medicine. The healthcare taxonomy code associated with this specialty is 207R00000X.
Where does Eden Lake practice?
Eden Lake practices in La Grange Park, IL 60526-5622.
When was Eden Lake's NPI issued?
Eden Lake's NPI was issued on July 15, 2013.
What is Eden Lake's provider type?
Eden Lake is registered as an Individual Provider under CMS NPI Type 1.