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1518037126
MARY E. LAKE
CHICAGO, IL
NPI
1518037126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL 036102561)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. MARY E. LAKE M.D.
2300 N CHILDRENS PLZ # 10
CHICAGO, IL 60614-3363
Phone number: 773-880-4000
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Mailing Address
Dr. MARY E. LAKE M.D.
2300 N CHILDRENS PLZ # 118
CHICAGO, IL 60614-3363
Phone number: 773-975-8666
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