| Lakeside Psychological Services | |
|
1110 W Lake Cook Rd Suite 150 Buffalo Grove IL 60089-1944 | |
| (847) 594-2880 | |
| Not Available |
| Full Name | Lakeside Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1110 W Lake Cook Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Julie Wiegel (PRESIDENT) |
| Authorized Official Contact | 8475942880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Psychological Services 1110 W Lake Cook Rd Suite 150 Buffalo Grove IL 60089-1944 Ph: () - | Lakeside Psychological Services 1110 W Lake Cook Rd Suite 150 Buffalo Grove IL 60089-1944 Ph: (847) 594-2880 |
| NPI Number | 1396068433 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396068433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071007686 (Illinois) | Primary |
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