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

Lake Shore Surgical Associates, Ltd

Organization Specialist · NPI 1396927398

Lake Shore Surgical Associates, Ltd provides Specialist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 N Wabash Ave Ste 1709
Chicago, IL 60602-2989 Not confirmed with CMS for 18 years — call before visiting
Phone: (312) 641-1150
Fax: (312) 332-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036060787 (IL)

Record details

NPI number1396927398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Krause — President · (312) 641-1150
NPI enumeratedNovember 30, 2007
Last updated in NPPESNovember 30, 2007
Mailing addressPo Box 1460, Highland Park, IL 60035-7460

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