Lakeside Community Committee
LBN: Lakeside Community Committee
Lakeside Community Committee is an health care organization with primary practice located at 7418 S Cottage Grove Ave , Chicago IL 60619-1912. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Lakeside Community Committee can be contacted via phone (773) 224-9217, or through Johnson, Tiffany via phone (773) 841-4368.
Contact Information
Primary practice address
7418 S Cottage Grove Ave
Chicago IL 60619-1912
Phone: (773) 224-9217
Fax: (773) 224-9468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1003656752 |
|---|---|
| LBN Legal business name | Lakeside Community Committee |
| DBA Doing business as | |
| Authorized official | Johnson, Tiffany EDD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2024 |
| Last updated | May 30th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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