Organization
LAKESIDE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANG NGUYEN APRN (PRESIDENT)
(859) 803-2908
Entity
Organization
Contact information
Practice address
1 W SUPERIOR ST APT 3112, CHICAGO, IL 60654-8842
(859) 803-2908
Mailing address
1 W SUPERIOR ST APT 3112, CHICAGO, IL 60654-8842
(859) 803-2908
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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