Organization
LAKESHORE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE RUBIN PHD (CLINICAL PSYCHOLOGIST)
(312) 869-9887
Entity
Organization
Contact information
Practice address
1 E ERIE ST STE 525, CHICAGO, IL 60611-2980
(312) 869-9887
Mailing address
1 E ERIE ST STE 525-5270, CHICAGO, IL 60611-2740
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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