# LINCOLN PARK THERAPY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144672908
- **Authorized official:** MRS. NICOLLE ALODIA MOLINA OSEQUEDA LMFT (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (312) 259-2665

## Contact information

- **Practice address:** 2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
- **Practice address phone:** (312) 259-2665
- **Mailing address:** 2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
- **Mailing address phone:** (312) 259-2665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166000873 | IL | Yes |

## Other

- **Enumeration date:** 07/05/2016
- **Last updated:** 01/25/2021