Organization · Type 2 NPI
Lake Shore Foot & Ankle, PC
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1508870247
Active
Practice location
2623 N Halsted St
Chicago, IL 60614-2393
Fax (773) 871-1244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1508870247
Lake Shore Foot & Ankle, PC's National Provider Identifier is 1508870247, issued on Jul 28, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2015.