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Organization

LIFESTANCE HEALTH GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN PARDO J.D. (CHIEF ATTORNEY)
(480) 701-9873
Entity
Organization

Contact information

Practice address
1010 LAKE ST STE 110, OAK PARK, IL 60301-1106
(855) 521-2041
Mailing address
825 NORTH CHRISTIANA AVENUE, HARBOR LIGHT - UNIT 353, CHICAGO, IL 60651
(320) 321-2842

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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