1. Home
  2. Directory
  3. Illinois
  4. Highland Park
  5. Internal Medicine
  6. NPI Profile

LAKE SHORE GASTROENTEROLOGY
NPI 1205952686
Internal Medicine - Gastroenterology in Highland Park, IL

Active since March 21, 2007CLIA 14D0414489 · Waiver
806 CENTRAL AVE, SUITE 202, HIGHLAND PARK, IL 60035(847) 433-9840(847) 433-9842 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Shore Gastroenterology NPPES

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

LAKE SHORE GASTROENTEROLOGY (NPI 1205952686) is a healthcare organization registered as a gastroenterology in Highland Park, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Fred B Rosenberg, President, as its authorized official.

NPPES Registry Identity

NPI1205952686
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKE SHORE GASTROENTEROLOGY
Location Address806 CENTRAL AVE, SUITE 202Highland Park, IL 60035-5613
Mailing Address20 Tower Ct, Suite CGurnee, IL 60031-5711 · (847) 244-2960 · Fax (847) 244-2986
Phone(847) 433-9840
Fax(847) 433-9842
Organization SubpartNo
Authorized OfficialFred B RosenbergPresident · (847) 244-2960
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205952686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
806 CENTRAL AVE, Highland Park, IL 60035
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0414489

Lake Shore Gastroenterology (dba) Illinois Gastroenterology Group LLC · Gurnee, IL
Active · expires Aug 31, 2026
CLIA Number14D0414489
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJonathan A. Rosenberg
Laboratory Phone(847) 244-2960
Laboratory LocationLake Shore Gastroenterology (dba) Illinois Gastroenterology Group LLC20 Tower Court, Ste F, Gurnee, IL 60031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

RACHEL EPSTEIN M.D.
Ophthalmology (Cornea and External Diseases Specialist)
806 CENTRAL AVE
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
TIFFANY M ANDRZEJEWSKI OD
Optometrist (Corneal and Contact Management)
806 CENTRAL AVE, SUITE 300
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
FRANCIS ALAN BUGAJ DDS
Dentist
806 CENTRAL AVE, SUITE 201
HIGHLAND PARK, IL 60035
Lake County (847) 432-8080
DR. KAREN S SABLE M D
Internal Medicine (Gastroenterology)
806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035
Lake County (847) 433-9840
JOSIE LEIGH TENORE M.D.
Family Medicine (Adult Medicine)
806 CENTRAL AVE, 203
HIGHLAND PARK, IL 60035
Lake County (847) 681-8821
CHICAGO CORNEA CONSULTANTS LTD
Durable Medical Equipment & Medical Supplies
806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
TRICIA HENEGHAN AU.D.
Audiologist
806 CENTRAL AVE, SUITE 103
HIGHLAND PARK, IL 60035
Lake County (847) 433-7617
DR. DOUGLAS S KAPLAN MD
Ophthalmology
806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010

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 Gastroenterology's NPI number?

The NPI number for Lake Shore Gastroenterology is 1205952686. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Lake Shore Gastroenterology located?

Lake Shore Gastroenterology is located at 806 Central Ave Suite 202, Highland Park, IL 60035. The listed phone number is (847) 433-9840.

What is Lake Shore Gastroenterology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Lake Shore Gastroenterology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0414489) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Shore Gastroenterology was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.