LAKE SHORE PODIATRY CENTER, LLC

CHICAGO, IL
NPI1679670905
Entity TypeOrganization
Authorized ContactFORTUNEE MASSUDA
Medical Director & CEO
773-233-0590
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
Additional Taxonomies213ES0103X Podiatrist, Foot & Ankle Surgery
213ES0131X Podiatrist, Foot Surgery
213EP1101X Podiatrist, Primary Podiatric Medicine
213EP0504X Podiatrist, Public Medicine
Enumeration Date2006-09-20
Last Update Date2008-02-14
Business Address
LAKE SHORE PODIATRY CENTER, LLC
2143 W WELLINGTON AVE
CHICAGO, IL 60618-8268
Phone number: 773-871-2250
Mailing Address
LAKE SHORE PODIATRY CENTER, LLC
9933 S WESTERN AVE SUITE 102
CHICAGO, IL 60643-1810
Phone number: 773-233-3800