LAKE SHORE PEDIATRICS, LTD
NPI 1003011628
Pediatrics in Lake Forest, IL

NPI Status: Active since June 15, 2007

Contact Information

900 N WESTMORELAND RD
SUITE 106
LAKE FOREST, IL
ZIP 60045
Phone: (847) 615-4654
Fax: (847) 615-1708

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  • Organization
  • Pediatrics

About LAKE SHORE PEDIATRICS, LTD

This page provides the complete NPI Profile along with additional information for Lake Shore Pediatrics, Ltd, a pediatrician established in Lake Forest, Illinois operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1003011628 assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number 36065837 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Diane Wheeler Fondriest Md (Managing Partner)

NPI
1003011628
Provider Name
LAKE SHORE PEDIATRICS, LTD
Entity Type
Organization
Location Address
900 N WESTMORELAND RD SUITE 106 LAKE FOREST, IL 60045
Location Phone
(847) 615-4654
Location Fax
(847) 615-1708
Mailing Address
900 N WESTMORELAND RD SUITE 106 LAKE FOREST, IL 60045
Mailing Phone
(847) 615-4654
Mailing Fax
(847) 615-1708
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2007
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Lake Shore Pediatrics, Ltd is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
36065837
License State
IL
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DIANE WHEELER FONDRIEST MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(847) 615-4654

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003011628, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 1 + 2 + 6 + 4 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1003011628.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
900 N WESTMORELAND RD, 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, STE 106
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, STE 106
LAKE FOREST, IL 60045
Obstetrics & Gynecology
900 N WESTMORELAND RD, SUITE 228
LAKE FOREST, IL 60045
Obstetrics & Gynecology (Gynecology)
900 N WESTMORELAND RD, SUITE 228
LAKE FOREST, IL 60045
Obstetrics & Gynecology
900 N WESTMORELAND RD, SUITE 228
LAKE FOREST, IL 60045
Psychologist (Clinical)
900 N WESTMORELAND RD, STE LL70
LAKE FOREST, IL 60045
Dermatology
900 N WESTMORELAND RD, SUITE 222
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Nurse Practitioner (Pediatrics)
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Nurse Practitioner (Pediatrics)
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045
Pediatrics
900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011628, enumerated as an "organization" on June 15, 2007.

The provider is located at 900 N WESTMORELAND RD SUITE 106 LAKE FOREST, IL 60045 and the phone number is (847) 615-4654.

Pediatrics with taxonomy code 208000000X.