LAKE SHORE GASTROENTEROLOGY
NPI 1467578294
Internal Medicine - Gastroenterology in Gurnee, IL

Active since March 22, 2007
20 TOWER CT, SUITE C, GURNEE, IL 60031(847) 244-2960(847) 244-2986 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Shore Gastroenterology NPPES

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

LAKE SHORE GASTROENTEROLOGY (NPI 1467578294) is a healthcare organization registered as a gastroenterology in Gurnee, Illinois and active in the NPI registry since March 2007. The organization lists Walter Reid Glaws, President, as its authorized official.

NPPES Registry Identity

NPI1467578294
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKE SHORE GASTROENTEROLOGY
Location Address20 TOWER CT, SUITE CGurnee, IL 60031-5711
Mailing Address20 Tower Ct, Suite CGurnee, IL 60031-5711 · (847) 244-2960 · Fax (847) 244-2986
Fax(847) 244-2986
Organization SubpartNo
Authorized OfficialWalter Reid GlawsPresident · (847) 244-2960
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 27, 2007
NPI 1467578294 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.
20 TOWER CT, Gurnee, IL 60031

Other Identifiers 1

Medicare ID-Type Unspecified781190IL

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 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 (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Chiropractor
20 TOWER CT, SUITE B
GURNEE, IL 60031
Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Internal Medicine (Gastroenterology)
20 TOWER CT, SUITE C
GURNEE, IL 60031
Clinic/Center (Primary Care)
20 TOWER CT, SUITE D
GURNEE, IL 60031
Internal Medicine (Cardiovascular Disease)
20 TOWER CT, SUITE F
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 Gastroenterology's NPI number?

The NPI number for Lake Shore Gastroenterology is 1467578294. 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 20 Tower Ct Suite C, Gurnee, IL 60031. The listed phone number is (847) 244-2960.

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.