Organization
LAKESIDE COMMUNITY COMMITTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE SHARP (PRESIDENT CEO)
(773) 224-9217
Entity
Organization
Contact information
Practice address
7418 S COTTAGE GROVE AVE, CHICAGO, IL 60619-1912
(773) 224-9217
(773) 224-9468
Mailing address
7418 S COTTAGE GROVE AVE, CHICAGO, IL 60619-1912
(773) 224-9217
(773) 224-9468
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15003
—
IL
Enumeration date
05/06/2015
Last updated
12/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us