1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile

LAKESIDE COMMUNITY COMMITTEE
NPI 1003656752
Clinic/Center - Adolescent and Children Mental Health in Chicago, IL

Active since May 30, 2024
7418 S COTTAGE GROVE AVE, CHICAGO, IL 60619(773) 224-9217(773) 224-9468 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Community Committee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE COMMUNITY COMMITTEE (NPI 1003656752) is a healthcare organization registered as an adolescent and children mental health in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Tiffany Johnson, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1003656752
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameLAKESIDE COMMUNITY COMMITTEE
Location Address7418 S COTTAGE GROVE AVEChicago, IL 60619-1912
Mailing Address7418 S Cottage Grove AveChicago, IL 60619-1912 · (773) 224-9217 · Fax (773) 224-9468
Phone(773) 224-9217
Fax(773) 224-9468
Organization SubpartNo
Authorized OfficialTiffany JohnsonChief Operating Officer · (773) 841-4368
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1003656752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
7418 S COTTAGE GROVE AVE, Chicago, IL 60619
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE COMMUNITY COMMITTEE
Clinic/Center (Mental Health (Including Community Mental Health Center))
7418 S COTTAGE GROVE AVE
CHICAGO, IL 60619
Cook County (773) 224-9217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Community Committee's NPI number?

The NPI number for Lakeside Community Committee is 1003656752. It was assigned to this organization in the NPPES registry on May 30, 2024.

Where is Lakeside Community Committee located?

Lakeside Community Committee is located at 7418 S Cottage Grove Ave, Chicago, IL 60619. The listed phone number is (773) 224-9217.

What is Lakeside Community Committee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Lakeside Community Committee was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.