LAKE SHORE GASTROENTEROLOGY
NPI 1932225836
Internal Medicine - Gastroenterology in Skokie, IL
NPI Status: Active since March 22, 2007
Contact Information
9701 KNOX AVE
SUITE 103
SKOKIE, IL
ZIP 60076
Phone: (847) 433-9840
Fax: (847) 433-9842
- Organization
- Internal Medicine
- Gastroenterology
- CLIA Number: 14D0414489
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About LAKE SHORE GASTROENTEROLOGY
This page provides the complete NPI Profile along with additional information for Lake Shore Gastroenterology, an internist established in Skokie, Illinois operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1932225836 assigned on March 2007. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Walter Reis Glaws Do (President)
- NPI
- 1932225836
- Provider Name
- LAKE SHORE GASTROENTEROLOGY
- Entity Type
- Organization
- Location Address
- 9701 KNOX AVE SUITE 103 SKOKIE, IL 60076
- Location Phone
- (847) 433-9840
- Location Fax
- (847) 433-9842
- Mailing Address
- 20 TOWER CT SUITE C GURNEE, IL 60031
- Mailing Phone
- (847) 244-2960
- Mailing Fax
- (847) 433-9842
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2007
- Last Update Date
- 08-27-2007
- Code Navigator
An internist like Lake Shore Gastroenterology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 632680 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0414489
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JONATHAN A. ROSENBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Shore Gastroenterology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 2 | 2 | 5 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 4 | 2 | 10 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 4 + 2 + 1 + 0 + 8 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1932225836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487640660 | DR. WOLF D PEDDINGHAUS M.D. Individual | Internal Medicine | 9701 KNOX AVE SUITE 102 SKOKIE, IL 60076 (847) 677-1112 |
| 1003806548 | MR. JERRY M. ZABIN MSW Individual | Social Worker (Clinical) | 9701 KNOX AVE 214 SKOKIE, IL 60076 (847) 677-3055 |
| 1598712416 | DR. MARTIN A GLOCHOWSKY M.D. Individual | Internal Medicine | 9701 KNOX AVE 102 SKOKIE, IL 60076 (847) 676-1112 |
| 1194808667 | ARTHRITIS & INTERNAL MEDICINE SPECIALIST Organization | Preferred Provider Organization | 9701 KNOX AVE STE 102 SKOKIE, IL 60076 (847) 674-7520 |
| 1194802298 | PETER ROONEY LTD Organization | Urology | 9701 KNOX AVE SUITE 103 SKOKIE, IL 60076 (847) 674-5828 |
| 1316085897 | DR. KELLY BRUNGARDT STEIN MD Individual | Internal Medicine | 9701 KNOX AVE STE 102 SKOKIE, IL 60076 (847) 676-1112 |
| 1013155167 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES Organization | Anesthesiology | 9701 KNOX AVE SUITE 103 SKOKIE, IL 60076 (847) 933-6974 |
| 1992923304 | RUSH NORTH SHORE PAIN CENTER Organization | Psychologist (Prescribing (Medical)) | 9701 KNOX AVE SUITE 103 SKOKIE, IL 60076 (847) 933-6974 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932225836, enumerated in the NPI registry as an "organization" on March 22, 2007
The provider is located at 9701 Knox Ave Suite 103 Skokie, Il 60076 and the phone number is (847) 433-9840
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0414489 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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