South Shore Lake Front Services, Inc in Chicago - Group Psychotherapy
South Shore Lake Front Services, Inc - NPI 1013932748
South Shore Lake Front Services, Inc is a Group Psychotherapy in Chicago, Illinois. South Shore Lake Front Services, Inc practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for South Shore Lake Front Services, Inc is 1013932748. The last update date is 2008-02-08.
South Shore Lake Front Services, Inc's current location address is 2619 E 75th St # 21, Chicago, Illinois. You can contact this provider via phone number 7733751900 and fax number 7737852091. The mailing address for South Shore Lake Front Services, Inc is 2619 E 75th St # 21, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Shore Lake Front Services, Inc |
|---|---|
| Address | 2619 E 75th St # 21, Chicago, Illinois |
| Phone Number | 7733751900 |
| Fax Number | 7737852091 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Go Leonard |
| Telephone Number | 7733751900 |
NPI Number Detail
| NPI Number | 1013932748 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 2619 E 75th St # 21 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606493705 |
| Phone Number | 7733751900 |
| Fax Number | 7737852091 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
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Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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What is the unique 10-digit identification code issued to South Shore Lake Front Services, Inc by the Centers for Medicare & Medicaid Services?
The South Shore Lake Front Services, Inc has been assigned the NPI (National Provider Identifier) 1013932748 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where South Shore Lake Front Services, Inc's facilities are geographically located?
The facilities of South Shore Lake Front Services, Inc are physically situated at the following location: 2619 E 75Th St # 21, Chicago, IL, 606493705.
What is South Shore Lake Front Services, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Shore Lake Front Services, Inc is Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013932748 to South Shore Lake Front Services, Inc?
The Centers for Medicare & Medicaid Services assigned the 1013932748 to South Shore Lake Front Services, Inc on 2006-07-13.
When was the information regarding South Shore Lake Front Services, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Shore Lake Front Services, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-08.