LAKE SHORE FOOT & ANKLE, PC
NPI 1114179215
Podiatrist - Foot & Ankle Surgery in Highland Park, IL

Active since October 21, 2008
767 PARK AVE W, SUITE 130, HIGHLAND PARK, IL 60035(847) 432-6400 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Shore Foot & Ankle, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SHORE FOOT & ANKLE, PC (NPI 1114179215) is a healthcare organization registered as a foot & ankle surgery in Highland Park, Illinois and active in the NPI registry since October 2008. The organization lists Lee R Stein, Owner, as its authorized official.

NPPES Registry Identity

NPI1114179215
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE SHORE FOOT & ANKLE, PC
Location Address767 PARK AVE W, SUITE 130Highland Park, IL 60035-2400
Mailing Address2623 N Halsted StChicago, IL 60614-2393 · (773) 477-3668 · Fax (773) 871-1244
Organization SubpartNo
Authorized OfficialLee R SteinOwner · (847) 433-4441
Enumeration DateOctober 21, 2008
Last NPPES UpdateApril 30, 2015
NPI 1114179215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016004996
767 PARK AVE W, Highland Park, IL 60035

Other Identifiers 3

Medicaid016004996IL
Medicare NSC4870660003IL
Medicare PIN213199IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
767 PARK AVE W, SUITE 230
HIGHLAND PARK, IL 60035
Internal Medicine (Sports Medicine)
767 PARK AVE W, STE 130
HIGHLAND PARK, IL 60035
Psychologist
767 PARK AVE W, SUITE 210
HIGHLAND PARK, IL 60035
Internal Medicine
767 PARK AVE W, SUITE 350
HIGHLAND PARK, IL 60035
Surgery (Plastic and Reconstructive Surgery)
767 PARK AVE W, 180
HIGHLAND PARK, IL 60035
Dermatology
767 PARK AVE W, SUITE 130
HIGHLAND PARK, IL 60035
Surgery
767 PARK AVE W, SUITE 320
HIGHLAND PARK, IL 60035
Internal Medicine (Hematology & Oncology)
767 PARK AVE W, SUITE 120
HIGHLAND PARK, IL 60035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Shore Foot & Ankle, PC's NPI number?

The NPI number for Lake Shore Foot & Ankle, PC is 1114179215. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Lake Shore Foot & Ankle, PC located?

Lake Shore Foot & Ankle, PC is located at 767 Park Ave W Suite 130, Highland Park, IL 60035. The listed phone number is (847) 432-6400.

What is Lake Shore Foot & Ankle, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Lake Shore Foot & Ankle, PC was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.