LAKE SHORE PODIATRY CENTER, LLC is a foot and ankle surgery podiatrist in Chicago, IL. LAKE SHORE PODIATRY CENTER, LLC NPI is 1366548018. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
4733 N DAMEN AVE
CHICAGO, IL
ZIP 60625-442
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) 233-3800.
The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/17/2008.