Lake Shore Podiatry Center, Llc - Podiatrist in Chicago, IL

Lake Shore Podiatry Center, Llc is a Podiatrist - Foot & Ankle Surgery based in Chicago, Illinois. Lake Shore Podiatry Center, Llc is licensed to practice in Illinois (license number ) and their current practice location is 4733 N Damen Ave, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at (773) 871-2250.

NPI number for Lake Shore Podiatry Center, Llc is 1366548018 and their current mailing address is 9933 S Western Ave, Suite 102, Chicago, Illinois. Lake Shore Podiatry Center, Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366548018.

Contact Information

Lake Shore Podiatry Center, Llc
4733 N Damen Ave,
Chicago, IL 60625-1442
(773) 871-2250
(773) 697-0134

Map and Direction




Healthcare Provider's Profile

Full NameLake Shore Podiatry Center, Llc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location4733 N Damen Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366548018
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 07/17/2008

Medical Identifiers

Medical identifiers for Lake Shore Podiatry Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366548018NPI-NPPES
216-22095OtherILBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (Illinois)Secondary
213EP0504XPodiatrist - Public Medicine (Illinois)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine (Illinois)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (Illinois)Primary
213ES0131XPodiatrist - Foot Surgery (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Shore Podiatry Center, Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Shore Podiatry Center, Llc
9933 S Western Ave, Suite 102,
Chicago, IL 60643-1810

Ph: (773) 233-3800
Lake Shore Podiatry Center, Llc
4733 N Damen Ave,
Chicago, IL 60625-1442

Ph: (773) 871-2250

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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