Organization
LAKEVIEW CENTER FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA N DWORKIN-CANTOR PHD (CO-DORECTOR)
(773) 472-8587
Entity
Organization
Contact information
Practice address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(773) 472-8587
Mailing address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(773) 472-8587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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