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

Lake Shore Surgical Associates, Ltd

Organization Specialist · NPI 1396927398

Lake Shore Surgical Associates, Ltd is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 N Wabash Ave Ste 1709
Chicago, IL 60602-2989
Phone: (312) 641-1150
Fax: (312) 332-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036060787 (IL)

Record details

NPI number1396927398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Krause — President · (312) 641-1150
NPI enumeratedNovember 30, 2007
Last updated in NPPESNovember 30, 2007
Mailing addressPo Box 1460, Highland Park, IL 60035-7460

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