Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katrina Lake MD LLC

Organization Multi-Specialty Clinic/Center · NPI 1013536663

Katrina Lake MD LLC is a Multi-Specialty Clinic/Center in Country Club Hills, Illinois. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

18503 Bellamy Rd
Country Club Hills, IL 60478-5279
Phone: (708) 365-8343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4053 183rd St Unit 2326, Country Club Hills, IL 60478-3413 — (708) 365-8343

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1013536663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katrina Lake — Owner · (708) 308-8974
Other names Live. Love. Wellness Md; Live. Love. Wellness Md
NPI enumeratedApril 14, 2020
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020
Mailing address18503 Bellamy Rd, Country Club Hills, IL 60478-5279