Mary E. Lake in Chicago - Child & Adolescent Psychiatry
Mary E. Lake - NPI 1518037126
Mary E. Lake is a Child & Adolescent Psychiatry in Chicago, Illinois. Mary E. Lake practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Mary E. Lake is 1518037126. The last update date is 2007-07-08.
Mary E. Lake's current location address is 2300 N Childrens Plz # 118, Chicago, Illinois. You can contact this provider via phone number 7739758666. The mailing address for Mary E. Lake is 2300 N Childrens Plz # 118, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E. Lake |
|---|---|
| Address | 2300 N Childrens Plz # 118, Chicago, Illinois |
| Phone Number | 7739758666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518037126 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 N Childrens Plz # 118 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606143363 |
| Phone Number | 7739758666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 36102561 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36102561 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary E. Lake by the Centers for Medicare & Medicaid Services?
The Mary E. Lake has been issued the NPI (National Provider Identifier) 1518037126, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary E. Lake?
The Mary E. Lake is situated at 2300 N Childrens Plz # 118, in the city of Chicago, state of IL, with the zip code 606143363.
What is Mary E. Lake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary E. Lake is Child & Adolescent Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0804X.
On what date did the Mary E. Lake receive its 1518037126 assignment from the Centers for Medicare & Medicaid Services?
The Mary E. Lake was assigned its 1518037126 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details pertaining to Mary E. Lake last refreshed?
The information related to the Mary E. Lake, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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