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

Lake Shore Gastroenterolgy SC

Organization Gastroenterology Physician · NPI 1215063144

Lake Shore Gastroenterolgy SC is a Gastroenterology Physician in Gurnee, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

20 Tower Ct Ste C
Gurnee, IL 60031
Phone: (847) 244-6320
Fax: (847) 244-5095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X

Record details

NPI number1215063144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle McKerlie — Administrator · (847) 244-2960
NPI enumeratedFebruary 26, 2007
Last updated in NPPESSeptember 8, 2008
Mailing address20 Tower Ct, Suite C, Gurnee, IL 60031

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