Lakeside Community Committee

NPI #1003656752 in Chicago, Illinois

Provider Information

NPI Number
1003656752
Entity Type
Organization
Organization Name
Lakeside Community Committee
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
May 30, 2024
Last Updated
May 30, 2024

Practice Location

Address
7418 S COTTAGE GROVE AVE
ZIP Code
60619-1912
Phone
(773) 224-9217

Authorized Official

Name
TIFFANY JOHNSON, EDD
Title
CHIEF OPERATING OFFICER
Phone
(773) 841-4368

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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