Lake Shore Gastroenterology
NPI 1588780894ActiveOrganization· Internal Medicine, Gastroenterology· Evanston, IL
Internal Medicine, Gastroenterology in Evanston, Illinois, registered in NPPES in March 2007. The authorized official on file is Walter Reid Glaws, DO, President.
Overview
| NPI | 1588780894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Aug 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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