| Lackey Group | |
|
1603 Orrington Ave Ste 600 Evanston IL 60201-3860 | |
| (312) 585-7409 | |
| Not Available |
| Full Name | Lackey Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1603 Orrington Ave Ste 600, Evanston, Illinois |
| Authorized Official Name and Position | Shairee Lackey (OWNER) |
| Authorized Official Contact | 3125857409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lackey Group 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (312) 585-7409 | Lackey Group 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (312) 585-7409 |
| NPI Number | 1962104372 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962104372 | NPI | - | NPPES |
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