LAKE SHORE PODIATRY CENTER, LLC – Foot & Ankle Surgery Podiatrist, NPI 1346232873

LAKE SHORE PODIATRY CENTER, LLC is a healthcare provider. based in Chicago, Illinois. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for LAKE SHORE PODIATRY CENTER, LLC is 1346232873

Main info

Organization
Name
LAKE SHORE PODIATRY CENTER, LLC
NPI
1346232873
Phone
(773) 233-3800
Address
9933 S WESTERN AVE
Authorized Official
MRS. FORTUNEE MASSUDA MEDICAL DIRECTOR /CEO DPM
Enumeration Date
19 August 2005
Last Update Date
3 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for LAKE SHORE PODIATRY CENTER, LLC

  • South Western Avenue, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States

    SUITE 102

    CHICAGO, IL 606431810

    Phone: (773) 233-3800

    Fax: (773) 233-2513

    Type: Mailing

  • Illinois Masonic Medical Center, 3000, North Halsted Street, Boystown, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    SUITE 621

    CHICAGO, IL 606575188

    Phone: (773) 871-2250

    Fax: (773) 697-0134

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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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 60643)

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Reviews

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Frequently asked questions

What federal number belongs to LAKE SHORE PODIATRY CENTER, LLC?
The federal identifier for LAKE SHORE PODIATRY CENTER, LLC is NPI 1346232873.
Is LAKE SHORE PODIATRY CENTER, LLC's NPI currently valid?
The extract we use shows LAKE SHORE PODIATRY CENTER, LLC as active.
What kind of provider is LAKE SHORE PODIATRY CENTER, LLC?
The page reflects Foot & Ankle Surgery Podiatrist for LAKE SHORE PODIATRY CENTER, LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for LAKE SHORE PODIATRY CENTER, LLC?
The page summarizes Chicago, Illinois for LAKE SHORE PODIATRY CENTER, LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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