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

Dr. Katrina Lake, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679866305

Dr. Katrina Lake, MD is an Obstetrics/Gynecology in Olympia Fields, Illinois. Qualified in 2011, 15 years ago. Practices with Specialty Physicians of Illinois LLC, a 112-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 679-2160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 233 W Joe Orr Rd, Chicago Heights, IL 60411-1744 — (877) 692-8686

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036141229 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679866305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2011
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address35318 Eagle Way, Chicago, IL 60678-1353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Specialty Physicians Of Illinois Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Olympia Fields