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Organization

NORTHLAKE PHYSICIANS GROUP

Active
Parent organization
NESS HEALTHCARE NFP
Other names
THE NESS CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
NESS HEALTHCARE NFP
Authorized official
MR. TONY SHIR (OFFICER)
(847) 452-4565
Entity
Organization

Contact information

Practice address
23699 QUAIL LANE, MANDEVILLE, LA 70448-7334
(985) 334-4040
(985) 626-6549
Mailing address
7300 N CICERO AVE, SUITE 211, LINCOLNWOOD, IL 60712-1641
(224) 392-9889

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
04/20/2017
Last updated
10/17/2024
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