Life Gate Pharmacy LLC
NPI 1558788760 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Life Gate Pharmacy LLC is a Foot & Ankle Surgery Podiatrist organization in Chicago, IL (NPI 1558788760).
Provider details
- NPI number
- 1558788760
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Herzog, Owner(708) 557-3155
- License
- 036059796 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Additional practice locations (1)
- 8559 W 121st StPalos Park, IL 60464-1230Phone: (708) 557-3155Fax: (727) 474-9067
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2018-09-17
Frequently asked questions
- What is Life Gate Pharmacy LLC's NPI number?
- Life Gate Pharmacy LLC's National Provider Identifier (NPI) is 1558788760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Gate Pharmacy LLC?
- Life Gate Pharmacy LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Life Gate Pharmacy LLC located?
- Life Gate Pharmacy LLC's practice location on file with NPPES is 5241 S Cicero Ave, Chicago, IL 60632.
- What is Life Gate Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Gate Pharmacy LLC is (708) 557-3155.
- Who is the authorized official for Life Gate Pharmacy LLC?
- The authorized official listed on Life Gate Pharmacy LLC's NPPES record is Michelle Herzog, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Gate Pharmacy LLC's NPI active?
- Yes — Life Gate Pharmacy LLC's NPI (1558788760) is active in the NPPES registry as of the last update on 2018-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.