Lake Shore Podiatry Center, LLC
NPI 1366548018 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Lake Shore Podiatry Center, LLC is a Foot & Ankle Surgery Podiatrist organization in Chicago, IL (NPI 1366548018).
Provider details
- NPI number
- 1366548018
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Fortunee Massuda, Medical Director & Ceo(773) 233-3800
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
- Public Medicine Podiatrist213EP0504X
Podiatric Medicine & Surgery Service Providers
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
- 2006-09-16
- Last updated
- 2008-07-17
Frequently asked questions
- What is Lake Shore Podiatry Center, LLC's NPI number?
- Lake Shore Podiatry Center, LLC's National Provider Identifier (NPI) is 1366548018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Podiatry Center, LLC?
- Lake Shore Podiatry Center, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lake Shore Podiatry Center, LLC located?
- Lake Shore Podiatry Center, LLC's practice location on file with NPPES is 4733 N Damen Ave, Chicago, IL 60625-1442.
- What is Lake Shore Podiatry Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Podiatry Center, LLC is (773) 871-2250.
- Who is the authorized official for Lake Shore Podiatry Center, LLC?
- The authorized official listed on Lake Shore Podiatry Center, LLC's NPPES record is Fortunee Massuda, Medical Director & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Podiatry Center, LLC's NPI active?
- Yes — Lake Shore Podiatry Center, LLC's NPI (1366548018) is active in the NPPES registry as of the last update on 2008-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.