Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Shore Medical Consultants, SC

Organization Family Medicine Physician · NPI 1417021551

Lake Shore Medical Consultants, SC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2800 N Sheridan Rd Ste 203
Chicago, IL 60657-6156 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 404-5263
Fax: (773) 404-1867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417021551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Lane — Ceo · (773) 404-5263
NPI enumeratedNovember 20, 2006
Last updated in NPPESJanuary 28, 2008
Mailing address2800 N Sheridan Rd, Suite 203, Chicago, IL 60657-6156

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