Organization
COUNSELING CENTER OF LAKE VIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KANTER (CONTROLLER)
(773) 549-5886
Entity
Organization
Contact information
Practice address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-3265
Mailing address
3225 N SHEFFIELD AVE, CHICAGO, IL 60657-2210
(773) 549-5886
(773) 549-3265
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
—
005
—
IL
Enumeration date
12/22/2006
Last updated
06/29/2011
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