| NPI | 1487872735 |
|---|---|
| Doing Business As | LAKESIDE PSYCHOLOGY & COUNSELING SRVCS. |
| Entity Type | Organization |
| Authorized Contact | LINDA HINES President 847-604-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006069) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071005286) |
| 103T00000X Psychologist (Licence: IL 071005286) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071004060) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006544) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149003472) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036060099) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.0066190) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-04-04 |