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LAKE SHORE MEDICAL SERVICES
NPI 1881766509
Clinic/Center - Health Service in Chicago, IL

Active since November 15, 2006
680 N LAKE SHORE DR, SUITE 115, CHICAGO, IL 60611(312) 654-5583(312) 654-5580 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Shore Medical Services NPPES

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

LAKE SHORE MEDICAL SERVICES (NPI 1881766509) is a healthcare organization registered as a health service in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Bonnie E. Wise, Director, as its authorized official.

NPPES Registry Identity

NPI1881766509
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameLAKE SHORE MEDICAL SERVICES
Location Address680 N LAKE SHORE DR, SUITE 115Chicago, IL 60611-4546
Mailing Address680 N Lake Shore Dr, Suite 115Chicago, IL 60611-4546 · (312) 654-5583 · Fax (312) 654-5580
Phone(312) 654-5583
Fax(312) 654-5580
Organization SubpartNo
Authorized OfficialBonnie E. WiseDirector · (312) 654-5583
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881766509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
680 N LAKE SHORE DR, Chicago, IL 60611
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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.

DR. MICHAEL A. RUCHIM M.D.
Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 118
CHICAGO, IL 60611
Cook County (312) 503-6000
ANNE R WOLFE PHD
Psychologist (Clinical)
680 N LAKE SHORE DR, STE 304
CHICAGO, IL 60611
Cook County (312) 593-8027
SUPERIOR ORTHOPEDICS, INC.
Durable Medical Equipment & Medical Supplies
680 N LAKE SHORE DR, SUITE 1207
CHICAGO, IL 60611
Cook County (312) 943-0386
SHIREEN AHMAD MD
Anesthesiology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
MICHAEL ABECASSIS MD
Transplant Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
SHUBHADA AHYA MD
Internal Medicine (Nephrology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-0596
ISSAM MIKATI MD
Internal Medicine (Cardiovascular Disease)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
DIANE NOVAK CCC-A
Audiologist
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022

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 Medical Services's NPI number?

The NPI number for Lake Shore Medical Services is 1881766509. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Lake Shore Medical Services located?

Lake Shore Medical Services is located at 680 N Lake Shore Dr Suite 115, Chicago, IL 60611. The listed phone number is (312) 654-5583.

What is Lake Shore Medical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Lake Shore Medical Services was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.