OrganizationActive
Katrina Lake MD LLC
NPI 1013536663 · Multi-Specialty Clinic/Center · Country Club Hills, IL
Provider details
- NPI number
- 1013536663
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katrina Lake, Owner(708) 308-8974
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
18503 Bellamy Rd
Country Club Hills, IL 60478-5279
Phone: (708) 365-8343
Street-level locationGet directions
Mailing address
18503 Bellamy Rd
Country Club Hills, IL 60478-5279
Other names (DBA / former)
- Doing business as
- Live. Love. Wellness MD
- Doing business as
- Live. Love. Wellness MD
Additional practice locations (1)
- 4053 183rd St Unit 2326Country Club Hills, IL 60478-3413Phone: (708) 365-8343
Registry dates
- Enumerated
- 2020-04-14
- Last updated
- 2020-05-01
- Certified
- 2020-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.