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1881643906
LAKESHOREHEALTHCARE
CHICAGO, IL
NPI
1881643906
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Entity Type
Organization
Authorized Contact
JAY SOBLE
Secretary
773-286-0668
Organization Subpart ?
No
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
Enumeration Date
2006-05-08
Last Update Date
2020-08-22
Business Address
LAKESHOREHEALTHCARE
4444 W MONTROSE AVE
CHICAGO, IL 60641-2023
Phone number: 773-286-0668
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Mailing Address
LAKESHOREHEALTHCARE
4444 W MONTROSE AVE
CHICAGO, IL 60641-2023
Phone number: 773-286-0668
Copy
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