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 1629490271

Lake Shore Foot & Ankle PC is a Foot & Ankle Surgery Podiatrist in Chicago, Illinois. Registered with an NPI since 2014.

In the registry since
2014
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

4646 N Marine Dr Ste C6300
Chicago, IL 60640-5759
Phone: (773) 564-5785
Fax: (773) 871-1244
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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

Record details

NPI number1629490271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Stein — Owner · (773) 564-5785
NPI enumeratedJanuary 16, 2014
Last updated in NPPESApril 30, 2015
Mailing address2623 N Halsted St, Chicago, IL 60614-2393

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