Lake Shore Mental Health Services
Lake Shore Mental Health Services is a Psychiatry Physician in Chicago, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
7638 S Evans Ave Ste BChicago, IL 60619-2519
Phone: (728) 201-6911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1417557968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Annette Diggs — President · (773) 559-0393 |
| Other names | Lake Shore Mental Health Services, Inc. |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | April 6, 2021 |
| Certification date | April 6, 2021 |
| Mailing address | 3685 Jackson St, Gary, IN 46408-1625 |
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