Organization · Type 2 NPI
Lakeshore Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1659207694
Active
Practice location
6117 N Winthrop Ave Apt 3N
Chicago, IL 60660-2773
Fax (773) 825-8338
Mailing address
2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659207694
Lakeshore Psychiatry PLLC's National Provider Identifier is 1659207694, issued on Jun 18, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2026.