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

Lake Shore Foot & Ankle, PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1114179215

Lake Shore Foot & Ankle, PC provides Foot & Ankle Surgery Podiatrist services in Highland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

767 Park Ave W Ste 130
Highland Park, IL 60035-2400 Not confirmed with CMS for 11 years — call before visiting
Phone: (847) 432-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016004996 (IL)

Record details

NPI number1114179215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Stein — Owner · (847) 433-4441
NPI enumeratedOctober 21, 2008
Last updated in NPPESApril 30, 2015
Mailing address2623 N Halsted St, Chicago, IL 60614-2393

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