Organization
CHICAGO LAKESHORE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K HOTZE LMFT (OWNER)
(773) 351-9239
Entity
Organization
Contact information
Practice address
155 N MICHIGAN AVE STE 714, CHICAGO, IL 60601-7706
(773) 474-2795
Mailing address
2014 W FLETCHER ST APT 1, CHICAGO, IL 60618-6418
(773) 351-9239
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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