institution
Lake Shore Foot & Ankle, Pc
Foot & Ankle Surgery Podiatrist in Chicago, Illinois
NPI 1508870247

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 Chicago, IL. The NPI Number for Lake Shore Foot & Ankle, Pc is 1508870247 and holds a License No. (Illinois).

The current practice location address for Lake Shore Foot & Ankle, Pc is 2623 N Halsted St, Chicago, IL and can be reached out via phone at 773-477-3668 and via fax at 773-871-1244.

Location: 2623 N Halsted St, Chicago, IL, 60614-2393
institution
Provider Profile Details
NPI Number
1508870247
Provider Name
Lake Shore Foot & Ankle, Pc
Credential
Provider Entity Type
Organization
Address
2623 N Halsted St, Chicago, IL, 60614-2393
Phone Number
773-477-3668
Fax Number
773-871-1244
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01627920 01 IL BCBS
DF0111 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2623 N Halsted St
City
State
Zip
60614-2393
Phone Number
773-477-3668
Fax Number
773-871-1244
person
Provider Business Mailing Address Details
Address
2623 N Halsted St
City
State
Zip
60614-2393
Phone Number
773-477-3668
Fax Number
773-871-1244
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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