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LIFE GATE PHARMACY LLC
NPI 1558788760
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since March 25, 2014
5241 S CICERO AVE, CHICAGO, IL 60632(708) 557-3155(773) 284-6431 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2018, Sep 14, 2018 (2 updates tracked since 2018).

About Life Gate Pharmacy Llc NPPES

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

LIFE GATE PHARMACY LLC (NPI 1558788760) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since March 2014. The organization maintains a secondary practice location in Palos Park and lists Michelle Herzog, Owner, as its authorized official.

NPPES Registry Identity

NPI1558788760
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLIFE GATE PHARMACY LLC
Location Address5241 S CICERO AVEChicago, IL 60632
Mailing Address8559 W 121st StPalos Park, IL 60464-1230 · (708) 557-3155 · Fax (727) 474-9067
Phone(708) 557-3155
Fax(773) 284-6431
Organization SubpartNo
Authorized OfficialMichelle HerzogOwner · (708) 557-3155
Enumeration DateMarch 25, 2014
Last NPPES UpdateSeptember 17, 20182 updates tracked since enumeration
✔ NPI 1558788760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016003225
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036059796 (IL)
5241 S CICERO AVE, Chicago, IL 60632
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Secondary Practice Location 1

Location 18559 W 121st StPalos Park, IL 60464-1230 · Phone (708) 557-3155 · Fax (727) 474-9067

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 15

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

PODIATRIC MANAGEMENT SYSTEMS LLC
Podiatrist
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-8811
PROFESSIONAL FOOT CARE SPECIALISTS, P.C.
Podiatrist (Primary Podiatric Medicine)
5241 S CICERO AVE, SUITE 103
CHICAGO, IL 60632
Cook County (773) 284-8811
MEDICAL AND REHABABILITATION CENTER OF CHICAGO LLC
Clinic/Center (Physical Therapy)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-8811
PHYSICIANS SURGERY CARE CENTER
Clinic/Center (Ambulatory Surgical)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (773) 284-7610
ADVANCED NEUROLOGICAL DIAGNOSTICS, LLC
Clinic/Center (Medical Specialty)
5241 S CICERO AVE, SUITE 201
CHICAGO, IL 60632
Cook County (773) 284-8881
PROFESSIONAL DIAGNOSTIC, INC.
Clinic/Center (Medical Specialty)
5241 S CICERO AVE
CHICAGO, IL 60632
Cook County (888) 322-7117
DR. LUKE WARNER KOVATCH D.P.M.
Podiatrist (Foot & Ankle Surgery)
5241 S CICERO AVE, STE 103
CHICAGO, IL 60632
Cook County (773) 284-8811
PROFESSIONAL NEUROLOGICAL SERVICES, LTD.
Clinic/Center (Medical Specialty)
5241 S CICERO AVE, SUITE 201
CHICAGO, IL 60632
Cook County (888) 733-1623

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 Life Gate Pharmacy LLC's NPI number?

The NPI number for Life Gate Pharmacy LLC is 1558788760. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Life Gate Pharmacy LLC located?

Life Gate Pharmacy LLC is located at 5241 S Cicero Ave, Chicago, IL 60632. The listed phone number is (708) 557-3155.

What is Life Gate Pharmacy 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 Life Gate Pharmacy LLC was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.