Organization
ADVOCATE NORTH SIDE HEALTH NETWORK
Active
Other names
Lake View School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NORDSTROM LOPEZ (PRESIDENT)
(773) 296-7081
Entity
Organization
Contact information
Practice address
4015 N ASHLAND AVE, CHICAGO, IL 60613-2593
(773) 404-0447
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/23/2008
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