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Organization

LAKE BARRINGTON PROFESSIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE T CONSOLO (DIRECTOR)
(847) 842-0012
Entity
Organization

Contact information

Practice address
5067 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 842-0012
(847) 842-0013
Mailing address
5067 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 842-0012
(847) 842-0013

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/09/2008
Last updated
01/09/2008
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