CCLAKEVIEW CILA

CHICAGO, IL
NPI1811203813
Entity TypeOrganization
Authorized ContactDANIEL P KANTER
Controller
773-549-1102
Organization Subpart ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: IL  04040)
Enumeration Date2010-08-27
Last Update Date2011-06-28
Business Address
CCLAKEVIEW CILA
732 W GRACE ST
CHICAGO, IL 60613-4114
Phone number: 773-549-5886
Mailing Address
CCLAKEVIEW CILA
3225 N SHEFFIELD AVE
CHICAGO, IL 60657-2210
Phone number: 773-549-5886