Lake Shore Foot & Ankle, Pc in Chicago - Foot & Ankle Surgery
Lake Shore Foot & Ankle, Pc - NPI 1508870247
Lake Shore Foot & Ankle, Pc is a Foot & Ankle Surgery in Chicago, Illinois. Lake Shore Foot & Ankle, Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Lake Shore Foot & Ankle, Pc is 1508870247. The last update date is 2015-04-30.
Lake Shore Foot & Ankle, Pc's current location address is 2623 N Halsted St, Chicago, Illinois. You can contact this provider via phone number 7734773668 and fax number 7738711244. The mailing address for Lake Shore Foot & Ankle, Pc is 2623 N Halsted St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Foot & Ankle, Pc |
|---|---|
| Address | 2623 N Halsted St, Chicago, Illinois |
| Phone Number | 7734773668 |
| Fax Number | 7738711244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stein R Lee |
| Credentials | DPM |
| Telephone Number | 7734773668 |
NPI Number Detail
| NPI Number | 1508870247 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2015-04-30 |
Provider Mailing Address Detail
| Address | 2623 N Halsted St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606142393 |
| Phone Number | 7734773668 |
| Fax Number | 7738711244 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1627920 | IL | BCBS | |
| DF0111 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Shore Foot & Ankle, Pc by the Centers for Medicare & Medicaid Services?
The Lake Shore Foot & Ankle, Pc has been issued the NPI (National Provider Identifier) 1508870247, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lake Shore Foot & Ankle, Pc's facilities are geographically located?
The facilities of Lake Shore Foot & Ankle, Pc are physically situated at the following location: 2623 N Halsted St, Chicago, IL, 606142393.
What is the Lake Shore Foot & Ankle, Pc's area of specialization and corresponding taxonomy classification?
The Lake Shore Foot & Ankle, Pc's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1508870247 to Lake Shore Foot & Ankle, Pc?
The Centers for Medicare & Medicaid Services assigned the 1508870247 to Lake Shore Foot & Ankle, Pc on 2006-07-28.
When was the information regarding Lake Shore Foot & Ankle, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lake Shore Foot & Ankle, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-30.