| NPI | 1356925929 |
|---|---|
| Doing Business As | LAKE-COOK HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | LINDA A TANNI Nurse Practitioner 847-868-3003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-09-09 |