Organization · Type 2 NPI
Lavoll and Edger, S.c.
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1306932751
Active
Practice location
3122 N Sheridan Rd Apt B2
Chicago, IL 60657-4936
Fax (312) 988-9215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 036069216 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1306932751
Lavoll and Edger, S.c.'s National Provider Identifier is 1306932751, issued on Oct 5, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.