Organization
COUNSELING CENTER OF LAKEVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JOHN CHRYSTAL JR. L.C.P.C. (CASEWORKER 4)
(773) 549-5886
Entity
Organization
Contact information
Practice address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-5892
Mailing address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-5892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.004932
IL
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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