Lake Shore Foot & Ankle, Pc

LBN: Lake Shore Foot & Ankle, Pc
Lake Shore Foot & Ankle, Pc is an health care organization with primary practice located at 767 Park Ave W Suite 130, Highland Park IL 60035-2400. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Lake Shore Foot & Ankle, Pc can be contacted via phone (847) 432-6400, or through Stein, Lee R via phone (847) 433-4441.

Contact Information

Primary practice address
767 Park Ave W Suite 130 Highland Park IL 60035-2400
Phone: (847) 432-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stein, Lee R Doctor of Podiatric Medicine (DPM)
Phone: (847) 433-4441

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004996 Illinois

Profile Details

NPI number 1114179215
LBN Legal business name Lake Shore Foot & Ankle, Pc
DBA Doing business as
Authorized official Stein, Lee R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Apr 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114179215 NPPES
Illinois MEDICAID 016004996

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