| Lakar Enterprise Llc | |
|
15525 S Park Ave Ste 114 South Holland IL 60473-1380 | |
| (708) 263-9512 | |
| (708) 825-1244 |
| Full Name | Lakar Enterprise Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 15525 S Park Ave Ste 114, South Holland, Illinois |
| Authorized Official Name and Position | Elvina Stegall (OWNER) |
| Authorized Official Contact | 7082639512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakar Enterprise Llc 3343 171st St Lansing IL 60438-1105 Ph: (708) 263-9512 | Lakar Enterprise Llc 15525 S Park Ave Ste 114 South Holland IL 60473-1380 Ph: (708) 263-9512 |
| NPI Number | 1992070031 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992070031 | NPI | - | NPPES |
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