Lake Shore Medical Services
NPI 1881766509 · Health Service Clinic/Center · Chicago, IL
Lake Shore Medical Services is a Health Service Clinic/Center organization in Chicago, IL (NPI 1881766509).
Provider details
- NPI number
- 1881766509
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bonnie Wise, Director(312) 654-5583
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
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
- 2006-11-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Shore Medical Services's NPI number?
- Lake Shore Medical Services's National Provider Identifier (NPI) is 1881766509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Medical Services?
- Lake Shore Medical Services is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Shore Medical Services located?
- Lake Shore Medical Services's practice location on file with NPPES is 680 N Lake Shore Dr, Chicago, IL 60611-4546.
- What is Lake Shore Medical Services's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Medical Services is (312) 654-5583.
- Who is the authorized official for Lake Shore Medical Services?
- The authorized official listed on Lake Shore Medical Services's NPPES record is Bonnie Wise, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Medical Services's NPI active?
- Yes — Lake Shore Medical Services's NPI (1881766509) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.