Katrina Lake MD LLC
NPI 1013536663 · Multi-Specialty Clinic/Center · Country Club Hills, IL
Katrina Lake MD LLC is a Multi-Specialty Clinic/Center organization in Country Club Hills, IL (NPI 1013536663).
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
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
Mailing address
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
Frequently asked questions
- What is Katrina Lake MD LLC's NPI number?
- Katrina Lake MD LLC's National Provider Identifier (NPI) is 1013536663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Katrina Lake MD LLC?
- Katrina Lake MD LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Katrina Lake MD LLC located?
- Katrina Lake MD LLC's practice location on file with NPPES is 18503 Bellamy Rd, Country Club Hills, IL 60478-5279.
- What is Katrina Lake MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Katrina Lake MD LLC is (708) 365-8343.
- Who is the authorized official for Katrina Lake MD LLC?
- The authorized official listed on Katrina Lake MD LLC's NPPES record is Katrina Lake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Katrina Lake MD LLC's NPI active?
- Yes — Katrina Lake MD LLC's NPI (1013536663) is active in the NPPES registry as of the last update on 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.