LAKE SHORE PLASTIC SURGERY
NPI 1306142872
Specialist in Chicago, IL

Active since February 01, 2011
60 E DELAWARE PL, 15TH FL, CHICAGO, IL 60611(312) 202-9000(312) 202-9002 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Shore Plastic Surgery NPPES

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

LAKE SHORE PLASTIC SURGERY (NPI 1306142872) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since February 2011. The organization lists Michael Alan Horn, President, as its authorized official.

NPPES Registry Identity

NPI1306142872
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE SHORE PLASTIC SURGERY
Location Address60 E DELAWARE PL, 15TH FLChicago, IL 60611-1998
Mailing Address60 E Delaware Pl, 15th FlChicago, IL 60611-1998 · (312) 202-9000
Fax(312) 202-9002
Organization SubpartNo
Authorized OfficialMichael Alan HornPresident · (312) 202-9000
Enumeration DateFebruary 1, 2011
NPI 1306142872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036092789
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

60 E DELAWARE PL, Chicago, IL 60611

Other Identifiers 1

Medicare UPING85472IL

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 18

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

Podiatrist (Foot & Ankle Surgery)
60 E DELAWARE PL, SUITE 1480
CHICAGO, IL 60611
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Obstetrics & Gynecology
60 E DELAWARE PL, STE 1500
CHICAGO, IL 60611
Specialist
60 E DELAWARE PL, #1430
CHICAGO, IL 60611
Surgery (Plastic and Reconstructive Surgery)
60 E DELAWARE PL, 15TH FLOOR
CHICAGO, IL 60611
Plastic Surgery
60 E DELAWARE PL, SUITE 1430
CHICAGO, IL 60611

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 Plastic Surgery's NPI number?

The NPI number for Lake Shore Plastic Surgery is 1306142872. It was assigned to this organization in the NPPES registry on February 1, 2011.

Where is Lake Shore Plastic Surgery located?

Lake Shore Plastic Surgery is located at 60 E Delaware Pl 15th Fl, Chicago, IL 60611. The listed phone number is (312) 202-9000.

What is Lake Shore Plastic Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lake Shore Plastic Surgery was last updated on February 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.