| Lakeview Psychology Group | |
|
1300 W Belmont Ave Ste 10 Chicago IL 60657-3200 | |
| (312) 880-9349 | |
| Not Available |
| Full Name | Lakeview Psychology Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1300 W Belmont Ave Ste 10, Chicago, Illinois |
| Authorized Official Name and Position | Justine Olson (PSYCHOLOGIST) |
| Authorized Official Contact | 8145945090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Psychology Group 4801 N Ravenswood Ave Apt 107 Chicago IL 60640-4478 Ph: () - | Lakeview Psychology Group 1300 W Belmont Ave Ste 10 Chicago IL 60657-3200 Ph: (312) 880-9349 |
| NPI Number | 1134641103 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134641103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.009518 (Illinois) | Primary |
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