Lake Shore Dermatology

  • Single-specialty group
  • Park City, IL
  • Core specialty: Pathology and laboratory
NPI1902977937PAC ID8628001203Dmand IDNG-MGR-098874
Total HCPs
8
Physicians (MD/DO)
8
Practice locations
2
Specialty areas
2
Medicare Part B payments
$690,593
Main site
351 S. Greenleaf, Park City, IL 60085
Main phone
(847) 680-7100
Specialty areas
2, led by pathology and laboratory
Website and social

Parent organization

Lake Shore Dermatology

Independent practice · Park City, Illinois

Find the right contacts among 8 HCPs

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Lake Shore Dermatology is a single-specialty medical group with 2 practice locations in Illinois

Lake Shore Dermatology is based in Park City, Illinois, part of Lake Shore Dermatology.

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data

Lake Shore Dermatology's NPI is 1902977937 and its PAC ID is 8628001203

Identifiers
Primary NPI (Type 2)
1902977937NPI Registry (opens in a new tab)
Medicare PAC ID
8628001203
Dmand ID
NG-MGR-098874
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Main site address
351 S. Greenleaf, Park City, IL 60085
Main phone
(847) 680-7100
Executive emails and mobiles
Get contacts
Classification
Group type
Single-specialty
Core specialty
Pathology and laboratory
Specialty areas
2
Site structure
Multi-site
Ownership model
Clinician owned
Leadership
Physician-led
Medicare Part B payments
$690,593
Legal name
Lake Shore Dermatology Ltd

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

Lake Shore Dermatology is part of Lake Shore Dermatology

Dmand AI places Lake Shore Dermatology under Lake Shore Dermatology, an independent practice.

  • Lake Shore DermatologyIndependent practice
  • Lake Shore DermatologySingle-specialty medical group · Park City, IL

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map Lake Shore Dermatology's entire network

See how Lake Shore Dermatology connects to Lake Shore Dermatology: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

Lake Shore Dermatology has 8 physicians among 8 HCPs

Lake Shore Dermatology physicians by specialty

  1. Anatomic pathology and clinical pathology5
  2. Dermatology1
  3. Dermatopathology (pathology)1
  4. Dermatopathology1

Share of the group's 8 physicians.

Lake Shore Dermatology physicians

View all 8 HCPs

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Lake Shore Dermatology has 2 practice locations in Illinois

Lake Shore Dermatology practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where Lake Shore Dermatology HCPs practice

Open all 2 practice locations with facility phones, patient visits and the HCPs at each site.

Lake Shore Dermatology covers 2 specialty areas, led by pathology and laboratory

Pathology and laboratory is Lake Shore Dermatology's core specialty, and its HCPs practice 2 subspecialties in all.

  • Pathology and laboratoryCore
  • Dermatology

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks 1 EHR vendor at Lake Shore Dermatology

Vendor and product names for each practice location are available with a free account.

EHR systems at Lake Shore Dermatology
SiteEHR vendorProduct
Main siteAvailable with a free accountAvailable with a free account
1 other practice locationAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Pathology and laboratory groups in Illinois similar in size to Lake Shore Dermatology

These pathology and laboratory groups have the closest number of HCPs to Lake Shore Dermatology.

See all 53 pathology and laboratory groups in Illinois

Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks

Sources for Lake Shore Dermatology data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
EHR vendorsDmand AI Technology Install Data
Similar groupsDmand AI Affiliation DataDmand AI Peer Benchmarks

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Lake Shore Dermatology

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Lake Shore Dermatology's NPI number?

Lake Shore Dermatology's primary NPI (Type 2) is 1902977937.

What is Lake Shore Dermatology's PAC ID?

Lake Shore Dermatology's Medicare PAC ID is 8628001203, which means the group is enrolled in Medicare.

How many locations does Lake Shore Dermatology have?

Dmand AI links Lake Shore Dermatology to 2 practice locations in Illinois. Its main site is at 351 S. Greenleaf, Park City, IL 60085.

What is Lake Shore Dermatology's phone number?

Lake Shore Dermatology's main phone number is (847) 680-7100.

Who owns Lake Shore Dermatology?

Dmand AI places Lake Shore Dermatology under Lake Shore Dermatology, an independent practice.

How many physicians does Lake Shore Dermatology have?

Dmand AI links 8 physicians and 8 HCPs in all to Lake Shore Dermatology.

What specialties does Lake Shore Dermatology cover?

Lake Shore Dermatology covers 2 specialty areas, led by pathology and laboratory. The largest physician specialties are anatomic pathology and clinical pathology (5), dermatology (1) and dermatopathology (pathology) (1).

How much does Lake Shore Dermatology receive from Medicare?

CMS data shows $690,593 in Medicare Part B payments to Lake Shore Dermatology.

Selling to pathology and laboratory groups?

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