LAKE SHORE GASTROENTEROLGY SC
NPI 1215063144
Internal Medicine - Gastroenterology in Gurnee, IL

Active since February 26, 2007
20 TOWER CT, SUITE C, GURNEE, IL 60031(847) 244-6320(847) 244-5095 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Shore Gastroenterolgy Sc NPPES

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

LAKE SHORE GASTROENTEROLGY SC (NPI 1215063144) is a healthcare organization registered as a gastroenterology in Gurnee, Illinois and active in the NPI registry since February 2007. The organization lists Michelle L. Mckerlie, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215063144
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKE SHORE GASTROENTEROLGY SC
Location Address20 TOWER CT, SUITE CGurnee, IL 60031
Mailing Address20 Tower Ct, Suite CGurnee, IL 60031 · (847) 244-6320 · Fax (847) 244-5095
Fax(847) 244-5095
Organization SubpartNo
Authorized OfficialMichelle L. MckerlieAdministrator · (847) 244-2960
Enumeration DateFebruary 26, 2007
Last NPPES UpdateSeptember 8, 2008
NPI 1215063144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

20 TOWER CT, Gurnee, IL 60031

Other Identifiers 2

Medicare PIN781190
Medicare PIN632380

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Internal Medicine (Cardiovascular Disease)
20 TOWER CT, SUITE F
GURNEE, IL 60031
Clinic/Center (Primary Care)
20 TOWER CT, SUITE D
GURNEE, IL 60031
Chiropractor
20 TOWER CT, SUITE B
GURNEE, IL 60031
Dentist (General Practice)
20 TOWER CT, SUITE D
GURNEE, IL 60031
Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Surgery (Trauma Surgery)
20 TOWER CT, SUITE A
GURNEE, IL 60031
Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031

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 Gastroenterolgy Sc's NPI number?

The NPI number for Lake Shore Gastroenterolgy Sc is 1215063144. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Lake Shore Gastroenterolgy Sc located?

Lake Shore Gastroenterolgy Sc is located at 20 Tower Ct Suite C, Gurnee, IL 60031. The listed phone number is (847) 244-6320.

What is Lake Shore Gastroenterolgy Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Shore Gastroenterolgy Sc was last updated on September 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.