LAKE SHORE GASTROENTEROLGY SC – NPI #1215063144
Internal Medicine

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.

LAKE SHORE GASTROENTEROLGY SC is a provider located in GURNEE, IL. NPPES has assigned the NPI number 1215063144 to LAKE SHORE GASTROENTEROLGY SC on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 18 years ago on Sep 08, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE SHORE GASTROENTEROLGY SC below.

NPI Profile for
LAKE SHORE GASTROENTEROLGY SC

NPI Number
1215063144
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE SHORE GASTROENTEROLGY SC
Primary location
20 TOWER CT
SUITE C
GURNEE, IL 60031
Phone: (847) 244-6320 Fax: (847) 244-5095
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHELLE MCKERLIE
ADMINISTRATOR
Phone: (847) 244-2960
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.