LAKE SHORE PODIATRY CENTER, LLC is a foot and ankle surgery podiatrist in Chicago, IL. LAKE SHORE PODIATRY CENTER, LLC NPI is 1366434706. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
2511 N KEDZIE BLVD
2ND FLOOR
CHICAGO, IL
ZIP 60647-634
Phone: (773) 342-5850
Fax: (773) 489-7729
The provider's authorized official is Fortunee Massuda .
The authorized official title is Medical Director/ceo and has the following contact phone number (773) 342-5850.
The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/3/2008.