Active NPI
Lake Shore Foot & Ankle, PC
- Foot & Ankle Surgery Podiatrist
- Northfield, IL
National Provider Identifier
1932429222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004996
- Legal business name
- LAKE SHORE FOOT & ANKLE, PC
- Practice address
- 1847 Oak St
Northfield, IL 60093-3013 - Phone
- (847) 433-4441
- NPI assigned
- Jun 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee R Stein, DPM
- Title
- Owner
- Phone
- (847) 433-4441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004996 | IL | Primary |
Addresses
Primary practice location
1847 Oak St
Northfield, IL 60093-3013
Mailing address
2623 N Halsted St
Chicago, IL 60614-2393
Phone (773) 477-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF0111 | Other | IL | RAILROAD MEDICARE |
| 1627920 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1427098318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298419200000",
"number": "1932429222",
"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": "1847 OAK ST",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933013",
"telephone_number": "847-433-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE SHORE FOOT & ANKLE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2011-02-23",
"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_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF0111",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1627920",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.