South Shore Lake Front Services, INC

NPI #1013932748 in Chicago, Illinois

Provider Information

NPI Number
1013932748
Entity Type
Organization
Organization Name
South Shore Lake Front Services, INC
Primary Specialty
Psychologist - Group Psychotherapy
Enumeration Date
Jul 13, 2006
Last Updated
Feb 8, 2008

Practice Location

Address
2619 E 75TH ST # 21
ZIP Code
60649-3705
Phone
(773) 375-1900

Authorized Official

Name
DR. LEONARD GO
Title
DOCTOR
Phone
(773) 375-1900

Specialties & Taxonomy Codes

Specialty
Psychologist - Group PsychotherapyGroup Psychotherapy

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