LAKE SHORE PODIATRY CENTER, LLC is a podiatrist in Chicago, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LAKE SHORE PODIATRY CENTER, LLC NPI is 1679670905. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
2143 W WELLINGTON AVE
CHICAGO, IL
ZIP 60618-268
Phone: (773) 871-2250
Fax: (773) 697-0134
The provider's authorized official is Fortunee Massuda .
The authorized official title is Medical Director & Ceo and has the following contact phone number (773) 233-0590.
The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/14/2008.