Lake Shore Adult & Geriatric Medicine, Ltd
NPI 1326056276 · Family Medicine Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Shore Adult & Geriatric Medicine, Ltd is a Family Medicine Physician organization in Chicago, IL (NPI 1326056276).
Provider details
- NPI number
- 1326056276
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Vexelman, President(312) 649-6565
- License
- 036095873 (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
- 2006-08-04
- Last updated
- 2010-04-09
Frequently asked questions
- What is Lake Shore Adult & Geriatric Medicine, Ltd's NPI number?
- Lake Shore Adult & Geriatric Medicine, Ltd's National Provider Identifier (NPI) is 1326056276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Adult & Geriatric Medicine, Ltd?
- Lake Shore Adult & Geriatric Medicine, Ltd is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Shore Adult & Geriatric Medicine, Ltd located?
- Lake Shore Adult & Geriatric Medicine, Ltd's practice location on file with NPPES is 150 E Huron Street, Chicago, IL 60611-2912.
- What is Lake Shore Adult & Geriatric Medicine, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Adult & Geriatric Medicine, Ltd is (312) 649-6565.
- Does Lake Shore Adult & Geriatric Medicine, Ltd accept Medicare?
- Lake Shore Adult & Geriatric Medicine, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Shore Adult & Geriatric Medicine, Ltd?
- The authorized official listed on Lake Shore Adult & Geriatric Medicine, Ltd's NPPES record is Mark Vexelman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Adult & Geriatric Medicine, Ltd's NPI active?
- Yes — Lake Shore Adult & Geriatric Medicine, Ltd's NPI (1326056276) is active in the NPPES registry as of the last update on 2010-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.