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Lake Shore Podiatry Center, LLC

Foot & Ankle Surgery Podiatrist in Chicago, IL · enumerated 2005 · authorized official Fortunee Massuda, Medical Director /Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346232873

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Shore Podiatry Center, LLC
Practice address 3000 N Halsted St, Suite 621, Chicago, IL, 60657
Fax (773) 697-0134
Enumeration date Aug 19, 2005
Last updated in NPPES Jul 3, 2008

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
213EP0504X Public Medicine Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
213EP1101X Primary Podiatric Medicine Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary
213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Fortunee Massuda
Title Medical Director /Ceo

Other identifiers

Identifier Type State Issuer
216-22095 Other IL BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Shore Podiatry Center, LLC?
NPPES lists Fortunee Massuda (Medical Director /Ceo) as the authorized official for this organization.
What is the NPI number for Lake Shore Podiatry Center, LLC?
The NPI for Lake Shore Podiatry Center, LLC is 1346232873, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-03.