Organization
LAKEFRONT MSO LLC
Active
Organization
LAKEFRONT MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA RYNIEC (OPERATIONS MANAGER/MBR)
(630) 699-5278
Entity
Organization
Contact information
Practice address
4580 WEAVER PKWY STE 102, WARRENVILLE, IL 60555-3864
(630) 839-9199
(630) 839-9299
Mailing address
4580 WEAVER PKWY STE 102, WARRENVILLE, IL 60555-3864
(630) 839-9199
(630) 839-9299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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