OrganizationActive
South Shore Lake Front Services, Inc
NPI 1013932748 · Group Psychotherapy Psychologist · Chicago, IL
Provider details
- NPI number
- 1013932748
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Leonard Go, Doctor(773) 375-1900
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2619 E 75th St # 21
Chicago, IL 60649-3705
Phone: (773) 375-1900
Fax: (773) 785-2091
Approximate (ZIP-level) locationGet directions
Mailing address
2619 E 75th St # 21
Chicago, IL 60649-3705
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2008-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.