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

Lake North Institute LLC

Organization Specialist · NPI 1073809000

Lake North Institute LLC provides Specialist services in Glenview, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1247 Milwaukee Ave
Glenview, IL 60025-2464 Not confirmed with CMS for 15 years — call before visiting
Phone: (847) 298-2200
Fax: (847) 298-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036096374 (IL)

Record details

NPI number1073809000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Gorodetsky — Physician · (847) 298-2200
NPI enumeratedJune 28, 2011
Last updated in NPPESSeptember 1, 2011
Mailing address67 Beach Rd, Glencoe, IL 60022-1313

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