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LAKE SHORE PODIATRY CENTER, LLC
NPI 1346232873
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since August 19, 2005
3000 N HALSTED ST, SUITE 621, CHICAGO, IL 60657(773) 871-2250(773) 697-0134 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Shore Podiatry Center, Llc NPPES

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

LAKE SHORE PODIATRY CENTER, LLC (NPI 1346232873) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since August 2005. The organization lists Fortunee Massuda, Medical Director /ceo, as its authorized official.

NPPES Registry Identity

NPI1346232873
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE SHORE PODIATRY CENTER, LLC
Location Address3000 N HALSTED ST, SUITE 621Chicago, IL 60657-5188
Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513
Phone(773) 871-2250
Fax(773) 697-0134
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director /ceo · (773) 871-2250
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 3, 2008
✔ NPI 1346232873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
3000 N HALSTED ST, Chicago, IL 60657
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Other Identifiers 4

Medicare NSC4147780001IL
Medicare PINCH4911
Medicare ID-Type Unspecified530120IL · Medicare
Other216-22095IL · Bcbs

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 MULTIPLE 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.

ADAJAR SURGICAL, S.C.
Surgery
3000 N HALSTED ST, SUITE 500
CHICAGO, IL 60657
Cook County (773) 310-3316
AMANDA ALLRED MS, GC
Genetic Counselor, MS
3000 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 296-6666
MARK PIETZ D.P.M.
Podiatrist
3000 N HALSTED ST, SUITE 821
CHICAGO, IL 60657
Cook County (773) 296-7160
LEVINE GYNECOLOGY OF CHICAGO, S.C.
Obstetrics & Gynecology (Gynecology)
3000 N HALSTED ST, SUITE 625
CHICAGO, IL 60657
Cook County (773) 296-3450
PAUL BERNARD RINGEL M.D.
Internal Medicine
3000 N HALSTED ST, SUITE 509
CHICAGO, IL 60657
Cook County (773) 296-5090
WHITNEY FRITZIE PA
Physician Assistant
3000 N HALSTED ST, SUITE 320
CHICAGO, IL 60657
Cook County (773) 296-3636
DR. SILVIA BICALHO M.D.
Obstetrics & Gynecology
3000 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 296-3300
CHICAGO ANESTHESIOLOGY PAIN SPECIALISTS LLC
Anesthesiology (Pain Medicine)
3000 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 296-7937

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 Podiatry Center, LLC's NPI number?

The NPI number for Lake Shore Podiatry Center, LLC is 1346232873. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Lake Shore Podiatry Center, LLC located?

Lake Shore Podiatry Center, LLC is located at 3000 N Halsted St Suite 621, Chicago, IL 60657. The listed phone number is (773) 871-2250.

What is Lake Shore Podiatry Center, LLC'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 Podiatry Center, LLC was last updated on July 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.