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Lake Shore Foot & Ankle, Pc
Foot & Ankle Surgery Podiatrist in Highland Park, Illinois
NPI 1114179215

Lake Shore Foot & Ankle, Pc is a Foot & Ankle Surgery Podiatrist based in Chicago, IL and is specialized in Foot & Ankle Surgery. Lake Shore Foot & Ankle, Pc practices in Highland Park, IL. The NPI Number for Lake Shore Foot & Ankle, Pc is 1114179215 and holds a License No. 016004996 (Illinois).

The current practice location address for Lake Shore Foot & Ankle, Pc is 767 Park Ave W, Highland Park, IL and can be reached out via phone at 847-432-6400.

Location: 767 Park Ave W, Highland Park, IL, 60614-2393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114179215
Provider Name
Lake Shore Foot & Ankle, Pc
Credential
Provider Entity Type
Organization
Address
767 Park Ave W, Highland Park, IL, 60614-2393
Phone Number
847-432-6400
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016004996 05 IL
institution
Provider Business Practice Location Address Details
Address
767 Park Ave W
City
Highland Park
State
Illinois
Zip
60035-2400
Phone Number
847-432-6400
Fax Number
person
Provider Business Mailing Address Details
Address
767 Park Ave W
City
Highland Park
State
Illinois
Zip
60035-2400
Phone Number
847-432-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016004996 (Illinois)
Definition
Definition to come...
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