LAKE SHORE GASTROENTEROLOGY (NPI# 1205952686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205952686 |
| Entity Type | Organization |
| Organization Name | LAKE SHORE GASTROENTEROLOGY |
| Practice Address |
806 Central Ave Suite 202 Highland Park IL 60035-5613 |
| 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 | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRED B ROSENBERG (PRESIDENT) |
| Authorized Official Telephone | 8472442960 |
| Authorized Official Credential | MD |
| 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 |
| 1275659187 | Lake Shore Gastroenterology | Internal Medicine | 9700 Kenton Ave, Suite 100, Skokie, IL 60076-1259 | 2007-03-22 |
| 1588780894 | Lake Shore Gastroenterology | Internal Medicine | 800 Austin St, Suite 403 West Tower, Evanston, IL 60202-3439 | 2007-03-21 |
| Street Address |
806 CENTRAL AVE SUITE 202 |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066347 | Robert A. Freilich | Internal Medicine | 806 Central Ave, Suite 103, Highland Park, IL 60035-5613 | 2005-07-14 |
| 1801289491 | M. Al Asadi Dds PC | Clinic/Center | 806 Central Ave, Suite 201, Highland Park, IL 60035-5613 | 2015-03-06 |
| 1164863353 | Rachel Epstein | Ophthalmology | 806 Central Ave, Highland Park, IL 60035 | 2013-07-16 |
| 1942561436 | Tariq Hafeez | Dentist | 806 Central Ave, #201, Highland Park, IL 60035-5613 | 2012-05-31 |
| 1174836548 | Tiffany M Andrzejewski | Optometrist | 806 Central Ave, Suite 300, Highland Park, IL 60035-5613 | 2010-07-14 |
| 1477882751 | Tricia Heneghan | Audiologist | 806 Central Ave, Suite 103, Highland Park, IL 60035-5613 | 2009-12-15 |
| 1356537955 | Chicago Cornea Consultants Ltd | Durable Medical Equipment & Medical Supplies | 806 Central Ave, Ste 300, Highland Park, IL 60035-5613 | 2007-09-18 |
| 1811108970 | Seymour Leo Gottlieb | Dentist | 806 Central Ave, Suite201, Highland Park, IL 60035-5613 | 2007-05-24 |
| 1750596409 | Jeff Andrew Bleile | Dentist | 806 Central Ave, Suite 201, Highland Park, IL 60035-5613 | 2007-05-14 |
| 1871615419 | Maria E Rosselson | Ophthalmology | 806 Central Ave, Ste 300, Highland Park, IL 60035-5613 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1275775553 | Jeffrey J Glass Mdsc | Internal Medicine | 1160 Park Ave W, Suite 3n, Highland Park, IL 60035-2230 | 2009-04-01 |
| 1811194459 | Central Jersey Gastroenterology PC | Internal Medicine | 85 Raritan Ave, Suite 125, Highland Park, NJ 08904-2439 | 2007-06-28 |
| 1508899634 | Ravinia Associates In Internal Medicine, Ltd | Internal Medicine | 1777 Green Bay Rd, Suite 201, Highland Park, IL 60035-3297 | 2006-07-09 |
| 1972559615 | Jeffrey Nathanson | Internal Medicine | 1777 Green Bay Rd, Suite 200, Highland Park, IL 60035-3297 | 2006-05-25 |
| 1568420057 | Joel E Retsky | Internal Medicine | 1777 Green Bay Rd, Suite 201, Highland Park, IL 60035-3297 | 2006-05-03 |
| 1760443261 | Jeffrey J Glass | Internal Medicine | 1770 1st St, Suite 300, Highland Park, IL 60035-3200 | 2006-04-01 |
| 1316949738 | Karen S Sable | Internal Medicine | 806 Central Ave, Suite 202, Highland Park, IL 60035-5613 | 2005-08-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.