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

Lake Shore Pathologists SC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1689673055

Lake Shore Pathologists SC is an Anatomic Pathology & Clinical Pathology Physician in Waukegan, Illinois. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

1324 N Sheridan Rd Vista Medical Ctr E
Waukegan, IL 60085-2161
Phone: (847) 360-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1689673055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Himani Dalia — Chair · (847) 360-3000
NPI enumeratedJuly 19, 2005
Last updated in NPPESNovember 27, 2007
Mailing address520 E. 22nd Street, Lombard, IL 60148

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