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LAKE SHORE GASTROENTEROLOGY
NPI 1275659187
Internal Medicine - Gastroenterology in Skokie, IL

Active since March 22, 2007
9700 KENTON AVE, SUITE 100, SKOKIE, IL 60076(847) 433-9840(847) 433-9842 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Shore Gastroenterology NPPES

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

LAKE SHORE GASTROENTEROLOGY (NPI 1275659187) is a healthcare organization registered as a gastroenterology in Skokie, Illinois and active in the NPI registry since March 2007. The organization lists Walter Reid Glaws, President, as its authorized official.

NPPES Registry Identity

NPI1275659187
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKE SHORE GASTROENTEROLOGY
Location Address9700 KENTON AVE, SUITE 100Skokie, IL 60076-1259
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 OfficialWalter Reid GlawsPresident · (847) 244-2960
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 27, 2007
✔ NPI 1275659187 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.
9700 KENTON AVE, Skokie, IL 60076
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Other Identifiers 1

Medicare ID-Type Unspecified632380IL

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 16

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

ASSOCIATED INTERNAL MEDICINE PHYSICIANS S C
Internal Medicine
9700 KENTON AVE, SUITE 302
SKOKIE, IL 60076
Cook County (847) 433-3737
GI SPECIALISTS OF THE NORTH SHORE
Internal Medicine (Gastroenterology)
9700 KENTON AVE, K-302
SKOKIE, IL 60076
Cook County (847) 674-2087
DR. JEFFREY LOUIS KARASICK M.D.
Neurological Surgery
9700 KENTON AVE, K401
SKOKIE, IL 60076
Cook County (847) 674-9394
DR. CHARLES HAROLD SCHIKMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9700 KENTON AVE, K405
SKOKIE, IL 60076
Cook County (847) 676-2877
GINTARAS TARNAUSKAS P.A.
Physician Assistant
9700 KENTON AVE, SUITE 304
SKOKIE, IL 60076
Cook County (847) 410-8416
UNIVERSITY OPHTHALMOLOGY ASSOCIATES, LTD
Ophthalmology
9700 KENTON AVE, SUITE K204
SKOKIE, IL 60076
Cook County (947) 677-8989
DR. SHELDON LAZAR M.D.
Neurological Surgery
9700 KENTON AVE, K401
SKOKIE, IL 60076
Cook County (847) 674-9394
BYUNG-HO YU, MD PC
Allergy & Immunology
9700 KENTON AVE, SUITE K-202
SKOKIE, IL 60076
Cook County (847) 727-5822

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 1275659187. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Lake Shore Gastroenterology located?

Lake Shore Gastroenterology is located at 9700 Kenton Ave Suite 100, Skokie, IL 60076. 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.

When was this NPI record last updated?

The NPPES record for Lake Shore Gastroenterology was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.