LAKESIDE COMMUNITY COMMITTEE

NPI # 

Practice Address:

7418 S Cottage Grove Ave

Chicago, IL, 60619-1912

Practice Phone:

773-224-9217

Practice Fax:

773-224-9468

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X