institution
Lake Shore Podiatry Center, Llc
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1366548018

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 1366548018 and holds a License No. (Illinois).

The current practice location address for Lake Shore Podiatry Center, Llc is 4733 N Damen Ave, Chicago, IL and can be reached out via phone at 773-871-2250 and via fax at 773-697-0134. You can also correspond with Lake Shore Podiatry Center, Llc through the mailing address at 9933 S WESTERN AVE, CHICAGO, IL - 60643-1810 (mailing address contact number: 773-233-3800).

Location: 4733 N Damen Ave, Chicago, IL, 60643-1810
institution
Provider Profile Details
NPI Number
1366548018
Provider Name
Lake Shore Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
4733 N Damen Ave, Chicago, IL, 60643-1810
Phone Number
773-871-2250
Fax Number
773-697-0134
Provider Enumeration Date
09/16/2006
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
4733 N Damen Ave
City
State
Zip
60625-1442
Phone Number
773-871-2250
Fax Number
773-697-0134
person
Provider Business Mailing Address Details
Address
9933 S Western Ave
City
State
Zip
60643-1810
Phone Number
773-233-3800
Fax Number
773-233-2513
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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