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

Lake Shore Gastroenterology

Organization Gastroenterology Physician · NPI 1205952686

Lake Shore Gastroenterology is a Gastroenterology Physician in Highland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

806 Central Ave Ste 202
Highland Park, IL 60035-5613
Phone: (847) 433-9840
Fax: (847) 433-9842
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (IL)

Record details

NPI number1205952686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Rosenberg — President · (847) 244-2960
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address20 Tower Ct, Suite C, Gurnee, IL 60031-5711

Other providers in Highland Park