Organization
CCLAKEVIEW 3227
Active
Parent organization
COUNSELING CENTER OF LAKE VIEW
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNSELING CENTER OF LAKE VIEW
Authorized official
DANIEL P KANTER (CONTROLLER)
(773) 549-1102
Entity
Organization
Contact information
Practice address
3227 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
04040
IL
Other
Enumeration date
08/27/2010
Last updated
06/29/2011
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