institution
Lake Shore Podiatry Center, Llc
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1346232873

Lake Shore Podiatry Center, Llc is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Lake Shore Podiatry Center, Llc practices in Chicago, IL. The NPI Number for Lake Shore Podiatry Center, Llc is 1346232873 and holds a License No. (Illinois).

The current practice location address for Lake Shore Podiatry Center, Llc is 3000 N Halsted St, Chicago, IL and can be reached out via phone at 773-871-2250 and via fax at 773-697-0134.

Location: 3000 N Halsted St, Chicago, IL, 60643-1810
institution
Provider Profile Details
NPI Number
1346232873
Provider Name
Lake Shore Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
3000 N Halsted St, Chicago, IL, 60643-1810
Phone Number
773-871-2250
Fax Number
773-697-0134
Provider Enumeration Date
08/19/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
216-22095 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
3000 N Halsted St
City
State
Zip
60657-5188
Phone Number
773-871-2250
Fax Number
773-697-0134
person
Provider Business Mailing Address Details
Address
3000 N Halsted St
City
State
Zip
60657-5188
Phone Number
773-871-2250
Fax Number
773-697-0134
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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