Lake Shore Foot & Ankle, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004996 Issued in IL

Legal business name

LAKE SHORE FOOT & ANKLE, PC

Practice address

767 Park Ave W
Suite 130
Highland Park, IL 60035-2400

Phone

(847) 432-6400

NPI assigned

Oct 21, 2008

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee R Stein, DPMNPI 1427098318

Title

Owner

Phone

(847) 433-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee R Stein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1427098318
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1114179215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142393",
            "telephone_number": "773-477-3668",
            "fax_number": "773-871-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 130",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-432-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE FOOT & ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-433-4441",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Van Nort Labbate, MD
• Meredith Roberts Lacaillade, APN - RN
• Laccura LLC (Laccura Medical Spa)
• William L Laegeler, RPH
• Lake County Immediate Care, LLC
• Lake Shore Gastroenterology
• Lakeshore Transit LLC (Lakeshore Transit)
• Monique Lambert, APN-CNP
• Dominika Landau-Lee
• Lisa Lang, L.C.P.C.

• Foot & Ankle Surgery Podiatrist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.