LAKE SHORE GASTROENTEROLOGY (NPI# 1275659187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275659187 |
| Entity Type | Organization |
| Organization Name | LAKE SHORE GASTROENTEROLOGY |
| Practice Address |
9700 Kenton Ave Suite 100 Skokie IL 60076-1259 |
| Mailing Address |
20 Tower Ct Suite C Gurnee IL 60031-5711 |
| Practice Telephone | 8474339840 |
| Practice Fax Number | 8474339842 |
| Mailing Telephone | 8472442960 |
| Mailing Fax Number | 8472442986 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | WALTER REID GLAWS (PRESIDENT) |
| Authorized Official Telephone | 8472442960 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932225836 | Lake Shore Gastroenterology | Internal Medicine | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-03-22 |
| 1700902616 | Lake Shore Gastroenterology | Internal Medicine | 2501 Compass Rd, Suite 2501, Glenview, IL 60026-8000 | 2007-03-22 |
| 1467578294 | Lake Shore Gastroenterology | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2007-03-22 |
| 1205952686 | Lake Shore Gastroenterology | Internal Medicine | 806 Central Ave, Suite 202, Highland Park, IL 60035-5613 | 2007-03-21 |
| 1588780894 | Lake Shore Gastroenterology | Internal Medicine | 800 Austin St, Suite 403 West Tower, Evanston, IL 60202-3439 | 2007-03-21 |
| Street Address |
9700 KENTON AVE SUITE 100 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616510 | Jeffrey Louis Karasick | Neurological Surgery | 9700 Kenton Ave, K401, Skokie, IL 60076-1259 | 2005-08-15 |
| 1295036267 | Byung-ho Yu, Md PC | Allergy & Immunology | 9700 Kenton Ave, Suite K-202, Skokie, IL 60076-1259 | 2010-11-08 |
| 1093979486 | Archie Lim Ong | Psychiatry & Neurology | 9700 Kenton Ave, Suite 404, Skokie, IL 60076-1259 | 2008-07-15 |
| 1770615965 | William J. Kafin, Md.sc | Psychiatry & Neurology | 9700 Kenton Ave, Ste 302, Skokie, IL 60076-1259 | 2007-03-12 |
| 1245382126 | University Ophthalmology Associates, Ltd | Ophthalmology | 9700 Kenton Ave, Suite K204, Skokie, IL 60076-1259 | 2007-01-18 |
| 1063573632 | Gi Specialists of The North Shore | Internal Medicine | 9700 Kenton Ave, K-302, Skokie, IL 60076-1259 | 2006-12-13 |
| 1568522142 | William Joel Kafin | Psychiatry & Neurology | 9700 Kenton Ave, Ste. 302, Skokie, IL 60076-1259 | 2006-12-12 |
| 1033212246 | Associated Internal Medicine Physicians S C | Internal Medicine | 9700 Kenton Ave, Suite 302, Skokie, IL 60076-1259 | 2006-09-06 |
| 1326157918 | Heidi Lynn Baruch | Internal Medicine | 9700 Kenton Ave, Suite K405, Skokie, IL 60076-1259 | 2006-08-29 |
| 1326069329 | Medical Care Specialists Ltd | Internal Medicine | 9700 Kenton Ave, Suite K405, Skokie, IL 60076-1259 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407287352 | Center for Gastroenterology and Nutrition, LLC | Internal Medicine | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2013-12-03 |
| 1932225836 | Lake Shore Gastroenterology | Internal Medicine | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-03-22 |
| 1063573632 | Gi Specialists of The North Shore | Internal Medicine | 9700 Kenton Ave, K-302, Skokie, IL 60076-1259 | 2006-12-13 |
| 1821104019 | North Shore Gastroenterology Sc | Internal Medicine | 4711 Golf Rd, Suite 500, Skokie, IL 60076 | 2006-08-21 |
| 1215961289 | Jan H. Faibisoff | Internal Medicine | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2006-07-10 |
| 1104885557 | Alan Buchman | Internal Medicine | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2006-03-22 |
| 1679569669 | Mitchell K Lichtenstein | Internal Medicine | 9700 Kenton Ave, Suite #302, Skokie, IL 60076-1259 | 2005-09-23 |
| 1154317139 | Bennett H Plotnick | Internal Medicine | 9700 Kenton Ave, #302, Skokie, IL 60076-1259 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.