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Lake Shore Foot & Ankle, Pc
Foot & Ankle Surgery Podiatrist in Northfield, Illinois
NPI 1932429222

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 Northfield, IL. The NPI Number for Lake Shore Foot & Ankle, Pc is 1932429222 and holds a License No. 016004996 (Illinois).

The current practice location address for Lake Shore Foot & Ankle, Pc is 1847 Oak St, Northfield, IL and can be reached out via phone at 847-433-4441.

Location: 1847 Oak St, Northfield, IL, 60614-2393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932429222
Provider Name
Lake Shore Foot & Ankle, Pc
Credential
Provider Entity Type
Organization
Address
1847 Oak St, Northfield, IL, 60614-2393
Phone Number
847-433-4441
Fax Number
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF0111 01 IL RAILROAD MEDICARE
1627920 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1847 Oak St
City
Northfield
State
Illinois
Zip
60093-3013
Phone Number
847-433-4441
Fax Number
person
Provider Business Mailing Address Details
Address
1847 Oak St
City
Northfield
State
Illinois
Zip
60093-3013
Phone Number
847-433-4441
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016004996 (Illinois)
Definition
Definition to come...
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