Lake Shore Podiatry Center, Llc - Chicago, IL

Lake Shore Podiatry Center, Llc

Foot Surgery Podiatrist in Chicago, Illinois

NPI 1679670905

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 1679670905 and holds a License No. (Illinois).

The current practice location address for Lake Shore Podiatry Center, Llc is 2143 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-871-2250 and via fax at 773-697-0134.

Location: 2143 W Wellington Ave, Chicago, IL, 60643-1810

NPI Number

1679670905

Provider Name

Lake Shore Podiatry Center, Llc

Credential

Provider Entity Type

Organization

Address

2143 W Wellington Ave, Chicago, IL, 60643-1810

Phone Number

773-871-2250

Fax Number

773-697-0134

Provider Enumeration Date

09/20/2006

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
216-22095	01	IL	BCBS

Address

2143 W Wellington Ave

City

Chicago

State

Illinois

Zip

60618-8268

Phone Number

773-871-2250

Fax Number

773-697-0134

Address

2143 W Wellington Ave

City

Chicago

State

Illinois

Zip

60618-8268

Phone Number

773-871-2250

Fax Number

773-697-0134

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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