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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.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About LAKE SHORE MEDICAL SERVICES

This page provides the complete NPI Profile along with additional information for Lake Shore Medical Services, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1881766509 assigned on November 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Bonnie E. Wise M.d. (Director)

NPI
1881766509 Verify this NPI
Provider Name
LAKE SHORE MEDICAL SERVICES
Entity Type
Organization
Location Address
680 N LAKE SHORE DR SUITE 115 CHICAGO, IL 60611
Location Phone
(312) 654-5583
Location Fax
(312) 654-5580
Mailing Address
680 N LAKE SHORE DR SUITE 115 CHICAGO, IL 60611
Mailing Phone
(312) 654-5583
Mailing Fax
(312) 654-5580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BONNIE E. WISE M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(312) 654-5583

Reviews for LAKE SHORE MEDICAL SERVICES

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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
ELIZA SHIN MD
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
ERIC BARTLETT MD
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
DOUGLAS SIDLE MD
Otolaryngology (Facial Plastic Surgery)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
MOHAMED S AFIFI MD
Anesthesiology (Critical Care Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
NIRMALA GONSALVES MD
Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
STEWART SPIES MD
Nuclear Medicine
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
YOLANDA ADLER MD
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-4022
MR. DENNIS BYRON SOLT DMD
Dentist (Oral and Maxillofacial Pathology)
680 N LAKE SHORE DR, NORTHWESTERN MEDICAL FACULTY FOUNDATION
CHICAGO, IL 60611
Cook County (312) 503-1314
NANETTE RUMSEY M.D.
Specialist
680 N LAKE SHORE DR, SUITE 824
CHICAGO, IL 60611
Cook County (813) 890-8004
ARNOLD STRIMLING MD
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ROBERT ALAN GOTTSCHALK ND, FNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
EDWARD APPLEBAUM MD
Otolaryngology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797

Frequently Asked Questions

What is LAKE SHORE MEDICAL SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1881766509, enumerated as an "organization" on November 15, 2006.

Where is the provider located?

The provider is located at 680 N LAKE SHORE DR SUITE 115 CHICAGO, IL 60611 and the phone number is (312) 654-5583.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.