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

Lake Shore Therapy Center, Inc

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1538356233

Lake Shore Therapy Center, Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2338 W Morse Ave 1 A
Chicago, IL 60645-4767
Phone: (773) 754-0027
Fax: (773) 754-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 036-084312 (IL)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 036-084312 (IL)
Physical Therapist Taxonomy 225100000X · Licence 070013870 (IL)

Record details

NPI number1538356233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eliza Diaconescu — Medical Director · (773) 754-0027
NPI enumeratedSeptember 27, 2007
Last updated in NPPESDecember 7, 2009
Mailing address2338 W Morse Ave, 1a, Chicago, IL 60645-4767

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