Lake Shore Podiatry Center, Llc - Chicago, IL

Lake Shore Podiatry Center, Llc

Foot Surgery Podiatrist in Chicago, Illinois

NPI 1366434706

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 1366434706 and holds a License No. (Illinois).

The current practice location address for Lake Shore Podiatry Center, Llc is 2511 N Kedzie Blvd, Chicago, IL and can be reached out via phone at 773-342-5850 and via fax at 773-489-7729.

Location: 2511 N Kedzie Blvd, Chicago, IL, 60643-1810

NPI Number

1366434706

Provider Name

Lake Shore Podiatry Center, Llc

Credential

Provider Entity Type

Organization

Address

2511 N Kedzie Blvd, Chicago, IL, 60643-1810

Phone Number

773-342-5850

Fax Number

773-489-7729

Provider Enumeration Date

08/22/2005

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
216-22095	01	IL	BCBS

Address

2511 N Kedzie Blvd

City

Chicago

State

Illinois

Zip

60647-2634

Phone Number

773-342-5850

Fax Number

773-489-7729

Address

2511 N Kedzie Blvd

City

Chicago

State

Illinois

Zip

60647-2634

Phone Number

773-342-5850

Fax Number

773-489-7729

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Taxonomy

213E00000X

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.

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Public Medicine

Taxonomy

213EP0504X

License No.

(Illinois)

Definition

Definition to come...

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Primary Podiatric Medicine

Taxonomy

213EP1101X

License No.

(Illinois)

Definition

Definition to come...

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Foot & Ankle Surgery

Taxonomy

213ES0103X

License No.

(Illinois)

Definition

Definition to come...

Type

Podiatric Medicine & Surgery Service Providers

Classification

Podiatrist

Speciality

Foot Surgery

Taxonomy

213ES0131X

License No.

(Illinois)

Definition

Definition to come...

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