Lake Shore Pediatrics, Ltd
NPI 1003011628 · Pediatrics Physician · Lake Forest, IL
Lake Shore Pediatrics, Ltd is a Pediatrics Physician organization in Lake Forest, IL (NPI 1003011628).
Provider details
- NPI number
- 1003011628
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Fondriest, Managing Partner(847) 615-4654
- License
- 36065837 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Shore Pediatrics, Ltd's NPI number?
- Lake Shore Pediatrics, Ltd's National Provider Identifier (NPI) is 1003011628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Pediatrics, Ltd?
- Lake Shore Pediatrics, Ltd is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Shore Pediatrics, Ltd located?
- Lake Shore Pediatrics, Ltd's practice location on file with NPPES is 900 N Westmoreland Rd, Lake Forest, IL 60045-1674.
- What is Lake Shore Pediatrics, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Pediatrics, Ltd is (847) 615-4654.
- Who is the authorized official for Lake Shore Pediatrics, Ltd?
- The authorized official listed on Lake Shore Pediatrics, Ltd's NPPES record is Diane Fondriest, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Pediatrics, Ltd's NPI active?
- Yes — Lake Shore Pediatrics, Ltd's NPI (1003011628) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.