| Northlake Mental Health Center Llc | |
|
7101 N Cicero Ave Ste 200 Lincolnwood IL 60712-2112 | |
| (847) 452-4565 | |
| (985) 626-6559 |
| Full Name | Northlake Mental Health Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7101 N Cicero Ave Ste 200, Lincolnwood, Illinois |
| Authorized Official Name and Position | Tony Shir (PRESIDENT) |
| Authorized Official Contact | 8474524565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlake Mental Health Center Llc 7101 N Cicero Ave Ste 200 Lincolnwood IL 60712-2112 Ph: (847) 452-4565 | Northlake Mental Health Center Llc 7101 N Cicero Ave Ste 200 Lincolnwood IL 60712-2112 Ph: (847) 452-4565 |
| NPI Number | 1669061008 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669061008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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