Lake Shore Therapy Center, Inc.
NPI 1538356233ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Chicago, IL
Physical Medicine & Rehabilitation, Pain Medicine in Chicago, Illinois, registered in NPPES in September 2007. The authorized official on file is Eliza Diaconescu, M.D., Medical Director.
Overview
| NPI | 1538356233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2007 |
| Last updated in NPPES | Dec 7, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | 036-084312 | IL |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 036-084312 | IL |
| Physical Therapist | 225100000X | 070013870 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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