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

Lake Shore Medical Consultants, SC

Organization Family Medicine Physician · NPI 1417021551

Lake Shore Medical Consultants, SC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2800 N Sheridan Rd Ste 203
Chicago, IL 60657-6156
Phone: (773) 404-5263
Fax: (773) 404-1867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417021551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Lane — Ceo · (773) 404-5263
NPI enumeratedNovember 20, 2006
Last updated in NPPESJanuary 28, 2008
Mailing address2800 N Sheridan Rd, Suite 203, Chicago, IL 60657-6156

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