Organization
SPRINGTIDES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MARGARET SZWALEK LCPC (PRESIDENT)
(312) 282-2610
Entity
Organization
Contact information
Practice address
2400 N LAKEVIEW AVE, #1703, CHICAGO, IL 60614-2739
(312) 282-2610
Mailing address
2400 N LAKEVIEW AVE, #1703, CHICAGO, IL 60614-2739
(312) 282-2610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180008213
IL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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