Lake Shore Foot & Ankle, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

LAKE SHORE FOOT & ANKLE, PC

Practice address

2623 N Halsted St
Chicago, IL 60614-2393

Phone

(773) 477-3668

Fax

(773) 871-1244

NPI assigned

Jul 28, 2006

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

President

Phone

(773) 477-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee R Stein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1427098318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1508870247",
    "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": "2623 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142393",
            "telephone_number": "773-477-3668",
            "fax_number": "773-871-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE FOOT & ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "773-477-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01627920",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Shore Adult & Geriatric Medicine, LTD
• Lake Shore Anesthesia Associates, LLC
• Lake Shore Cardiology Group, LTD.
• Lake Shore Care Center LLC
• Lake Shore Foot & Ankle PC
• Lake Shore Healthcare & Rehabilitation Centre LLC
• Lake Shore Medical Associates LTD
• Lake Shore Medical Associates, LTD.
• Lake Shore Medical Consultants, S.C.
• Lake Shore Medical Services

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.