Organization
LAKESHORE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CARSON APRN, PMHNP-BC (OWNER)
(224) 509-9351
Entity
Organization
Contact information
Practice address
6117 N WINTHROP AVE APT 3N, CHICAGO, IL 60660-2773
(224) 509-9351
(773) 825-8338
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(224) 509-9351
(773) 825-8338
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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