| Entity Name: | NORTHLAKE MEDICAL CENTER, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 27 Jun 2012 |
| Company Number: | LLC_03951243 |
| File Number: | 03951243 |
| Type of Management: | Member Managed |
| Date Status Change: | 04 Jun 2024 |
| Address | 9540 ADDISON AVE, FRANKLIN PARK, 60131, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| GORMAN & ASSOCIATES CPAS, 9517 OGDEN AVE, BROOKFIELD, 60513 | Agent | 2018-06-11 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| VAVILKOLANU, SESHAGIRI RAO MD, 420 HOME AVE, 205N, OAK PARK, IL, 60302 | Manager | 2024-06-04 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248000669 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2012-09-10 | 2022-04-15 | 2025-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ROSE WOMEN'S HEALTH CENTER | Assumed name | 2024-06-21 | No data | No data | No data |
| ILLINOIS MEDICAL COMPASSIONATE CARE CENTER - VIRTUAL MEDICINE | Assumed name | 2024-06-21 | No data | No data | No data |
| CHICAGO ROSE COMPASSIONATE WELLNESS CENTER | Assumed name | 2020-03-10 | 2020-03-16 | Voluntary cancellation | No data |
| ROSE WOMEN'S MEDICAL CENTER | Assumed name | 2018-06-11 | 2020-03-16 | Voluntary cancellation | No data |
| NORTH SHORE PAIN MANAGEMENT | Assumed name | 2013-06-17 | 2015-08-14 | Involuntary cancellation | No data |
Date of last update: 23 Dec 2024
