CC LAKEVIEW CASP NPI 1376859371

NPI Information

CC LAKEVIEW CASP is a mental health (including community mental health center) clinic center in Chicago, IL. CC LAKEVIEW CASP NPI is 1376859371. The provider is registered as an organization entity type.

The provider's business location address is:

1400 W GREENLEAF AVE
CHICAGO, IL
ZIP 60626-805
Phone: (773) 549-5886
Fax: (773) 549-3265

The provider's authorized official is Daniel P Kanter .
The authorized official title is Controller and has the following contact phone number (773) 549-1102.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 6/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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