Lakeside Community Committee
Lakeside Community Committee is an Adult Mental Health Clinic/Center in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
7418 S Cottage Grove AveChicago, IL 60619-1912
Phone: (773) 224-9217
Fax: (773) 224-9468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
Record details
| NPI number | 1003656752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Johnson — Chief Operating Officer · (773) 841-4368 |
| NPI enumerated | May 30, 2024 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | May 30, 2024 |
| Mailing address | 7418 S Cottage Grove Ave, Chicago, IL 60619-1912 |
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