LAKE SHORE SURGICAL ASSOCIATES, LTD.
NPI 1396927398
Specialist in Chicago, IL

Active since November 30, 2007
111 N WABASH AVE STE 1709, CHICAGO, IL 60602(312) 641-1150(312) 332-0299 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Shore Surgical Associates, Ltd. NPPES

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

LAKE SHORE SURGICAL ASSOCIATES, LTD. (NPI 1396927398) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since November 2007. The organization lists Lawrence Mark Krause, President, as its authorized official.

NPPES Registry Identity

NPI1396927398
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE SHORE SURGICAL ASSOCIATES, LTD.
Location Address111 N WABASH AVE STE 1709Chicago, IL 60602-2989
Mailing AddressPo Box 1460Highland Park, IL 60035-7460 · (312) 641-1150 · Fax (312) 332-0299
Fax(312) 332-0299
Organization SubpartNo
Authorized OfficialLawrence Mark KrausePresident · (312) 641-1150
Enumeration DateNovember 30, 2007
NPI 1396927398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036060787
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.
111 N WABASH AVE STE 1709, Chicago, IL 60602

Other Identifiers 3

Medicare UPIND13433IL
Medicare PIN724180IL
Medicare PIN950190IL

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 2

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

Specialist
111 N WABASH AVE STE 1709
CHICAGO, IL 60602
Surgery
111 N WABASH AVE STE 1709
CHICAGO, IL 60602

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 Surgical Associates, Ltd.'s NPI number?

The NPI number for Lake Shore Surgical Associates, Ltd. is 1396927398. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Lake Shore Surgical Associates, Ltd. located?

Lake Shore Surgical Associates, Ltd. is located at 111 N Wabash Ave Ste 1709, Chicago, IL 60602. The listed phone number is (312) 641-1150.

What is Lake Shore Surgical Associates, Ltd.'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 Surgical Associates, Ltd. was last updated on November 30, 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.