Organization
LAKE SHORE FOOT & ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE R STEIN DPM (OWNER)
(847) 433-4441
Entity
Organization
Contact information
Practice address
1847 OAK ST, NORTHFIELD, IL 60093-3013
(847) 433-4441
Mailing address
2623 N HALSTED ST, CHICAGO, IL 60614-2393
(773) 477-3668
(773) 871-1244
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627920
BCBS
IL
01
—
DF0111
RAILROAD MEDICARE
IL
Enumeration date
06/09/2010
Last updated
02/23/2011
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