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

Lake Shore Foot & Ankle, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1114179215

Lake Shore Foot & Ankle, PC is a Foot & Ankle Surgery Podiatrist in Highland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

767 Park Ave W Ste 130
Highland Park, IL 60035-2400
Phone: (847) 432-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016004996 (IL)

Record details

NPI number1114179215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Stein — Owner · (847) 433-4441
NPI enumeratedOctober 21, 2008
Last updated in NPPESApril 30, 2015
Mailing address2623 N Halsted St, Chicago, IL 60614-2393

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