| Lake Shore Therapy Group | |
|
130 E Onwentsia Rd Lake Forest IL 60045 | |
| (847) 528-0601 | |
| Not Available |
| Full Name | Lake Shore Therapy Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 130 E Onwentsia Rd, Lake Forest, Illinois |
| Authorized Official Name and Position | Jonathan Colledge (THERAPIST) |
| Authorized Official Contact | 3308583312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Shore Therapy Group 130 E Onwentsia Rd Lake Forest IL 60045 Ph: (847) 528-0601 | Lake Shore Therapy Group 130 E Onwentsia Rd Lake Forest IL 60045 Ph: (847) 528-0601 |
| NPI Number | 1932983210 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932983210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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