| NPI | 1659127199 |
|---|---|
| Doing Business As | LAKESHORE HOTEL SHELTER |
| Entity Type | Organization |
| Authorized Contact | ZACHARY SPREITZER Director Of Finance 773-584-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-05-14 |