LAKE SHORE PODIATRY CENTER, LLC – Foot & Ankle Surgery Podiatrist, NPI 1366434706

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 1366434706

Main info

Organization
Name
LAKE SHORE PODIATRY CENTER, LLC
NPI
1366434706
Phone
(773) 233-3800
Address
9933 S WESTERN AVE
Authorized Official
MRS. FORTUNEE MASSUDA MEDICAL DIRECTOR/CEO DPM
Enumeration Date
22 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

  • Advocate Medical Group, 2511, North Kedzie Boulevard, Logan Square, Chicago, Cook County, Illinois, 60647, United States

    2ND FLOOR

    CHICAGO, IL 606472634

    Phone: (773) 342-5850

    Fax: (773) 489-7729

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

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

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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

Where can patients find LAKE SHORE PODIATRY CENTER, LLC's NPI?
You can confirm LAKE SHORE PODIATRY CENTER, LLC with NPI 1366434706; it appears in the national provider directory.
Is LAKE SHORE PODIATRY CENTER, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LAKE SHORE PODIATRY CENTER, LLC work in?
You can think of LAKE SHORE PODIATRY CENTER, LLC as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place LAKE SHORE PODIATRY CENTER, LLC?
The snapshot lists Chicago, Illinois for LAKE SHORE PODIATRY CENTER, LLC; download NPPES for the complete set.
How can I contact LAKE SHORE PODIATRY CENTER, LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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