LAKE SHORE FOOT & ANKLE PC NPI 1629490271

NPI Information

  • NPI: 1629490271
  • Provider Name: LAKE SHORE FOOT & ANKLE PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4646 N MARINE DR
    STE C6300
    CHICAGO, IL
    ZIP 60640
  • Phone: (773) 564-5785

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NPI Details

LAKE SHORE FOOT & ANKLE PC is a foot and ankle surgery podiatrist in Chicago, IL. LAKE SHORE FOOT & ANKLE PC NPI is 1629490271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4646 N MARINE DR
STE C6300
CHICAGO, IL
ZIP 60640-759
Phone: (773) 564-5785
Fax: (773) 871-1244

The provider's authorized official is Lee R Stein .
The authorized official title is Owner and has the following contact phone number (773) 564-5785.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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