Organization · Type 2 NPI

Lake Shore Foot & Ankle PC

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1629490271 Active

Practice location

4646 N Marine Dr, Ste C6300
Chicago, IL 60640-5759

Call (773) 564-5785 Map

Fax (773) 871-1244

Mailing address

2623 N Halsted St
Chicago, IL 60614-2393

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1629490271

Lake Shore Foot & Ankle PC's National Provider Identifier is 1629490271, issued on Jan 16, 2014. 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.