LAKE SHORE PODIATRY CENTER, LLC is a foot and ankle surgery podiatrist in Chicago, IL. LAKE SHORE PODIATRY CENTER, LLC NPI is 1346232873. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
3000 N HALSTED ST
SUITE 621
CHICAGO, IL
ZIP 60657-188
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) 871-2250.
The enumeration date for this NPI number is 8/19/2005 and was last updated on 7/3/2008.