LAKE SHORE GASTROENTEROLOGY – Gastroenterology Physician, NPI 1205952686

LAKE SHORE GASTROENTEROLOGY is a healthcare provider. based in Highland park, Illinois. specializing in Gastroenterology Physician. The NPI Number for LAKE SHORE GASTROENTEROLOGY is 1205952686

Main info

Organization
Name
LAKE SHORE GASTROENTEROLOGY
NPI
1205952686
Phone
(847) 433-9840
Address
806 CENTRAL AVE
Authorized Official
FRED B ROSENBERG PRESIDENT MD
Enumeration Date
21 March 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for LAKE SHORE GASTROENTEROLOGY

  • 806 CENTRAL AVE

    SUITE 202

    HIGHLAND PARK, IL 600355613

    Phone: (847) 433-9840

    Fax: (847) 433-9842

    Type: Location

  • 20 TOWER CT

    SUITE C

    GURNEE, IL 600315711

    Phone: (847) 244-2960

    Fax: (847) 244-2986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60035)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for LAKE SHORE GASTROENTEROLOGY?
LAKE SHORE GASTROENTEROLOGY — NPI 1205952686 — is the standard way to identify this listing.
Does CMS list LAKE SHORE GASTROENTEROLOGY as active?
Yes — LAKE SHORE GASTROENTEROLOGY is active in the NPI listing used on this page.
What healthcare role does LAKE SHORE GASTROENTEROLOGY hold?
Scheduling teams often label LAKE SHORE GASTROENTEROLOGY under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LAKE SHORE GASTROENTEROLOGY?
LAKE SHORE GASTROENTEROLOGY's geographic hint is Highland Park, Illinois in our summary view.
Is the information about LAKE SHORE GASTROENTEROLOGY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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