Lake Shore Gastroenterology

Specialty details in registry · Skokie, IL

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At a glance

9700 Kenton Ave, Skokie, IL 60076-1259

NPPES record updated Aug 27, 2007. Public records can lag behind changes at a practice.

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Practice location

9700 Kenton Ave Suite 100
Skokie, IL 60076-1259

Professional details: NPI, taxonomy & registry record

NPI1275659187

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207RG0100X
Enumeration date: Mar 22, 2007
Record updated: Aug 27, 2007

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RG0100X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9700 Kenton Ave
Suite 100
Skokie, IL 60076-1259

Phone: (847) 433-9840
Fax: (847) 433-9842

Mailing address

20 TOWER CT
SUITE C
GURNEE, IL 600315711

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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