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 1932225836

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

Licensed in
IL
In the registry since
2007

Practice location Address checks out

9701 Knox Ave Ste 103
Skokie, IL 60076-1256
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 number1932225836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Glaws — President · (847) 244-2960
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 27, 2007
Mailing address20 Tower Ct, Suite C, Gurnee, IL 60031-5711

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