Organization
LAKESIDE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ABBORENO (OWNER)
(847) 650-1796
Entity
Organization
Contact information
Practice address
69 LAKE SHORE DR, BARRINGTON, IL 60010-1414
(847) 650-1796
Mailing address
69 LAKE SHORE DR, BARRINGTON, IL 60010-1414
(847) 650-1796
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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