| Lcmg Specialty Services | |
|
225 E Chicago Ave Chicago IL 60611-2991 | |
| (312) 227-4000 | |
| Not Available |
| Full Name | Lcmg Specialty Services |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 225 E Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | Lisa Lenz (DIRECTOR) |
| Authorized Official Contact | 3122277121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcmg Specialty Services 225 E Chicago Ave #64 Chicago IL 60611-2991 Ph: (312) 227-7200 | Lcmg Specialty Services 225 E Chicago Ave Chicago IL 60611-2991 Ph: (312) 227-4000 |
| NPI Number | 1518033836 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518033836 | NPI | - | NPPES |
| 1637685 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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