SOUTH SHORE LAKE FRONT SERVICES, INC
NPI 1013932748
Psychologist - Group Psychotherapy in Chicago, IL

Q: What is South Shore Lake Front Services, Inc's NPI number?

The NPI number for South Shore Lake Front Services, Inc is 1013932748. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is South Shore Lake Front Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Active since July 13, 2006

2619 E 75TH ST # 21, CHICAGO, IL 60649(773) 375-1900(773) 785-2091 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Shore Lake Front Services, Inc NPPES

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

SOUTH SHORE LAKE FRONT SERVICES, INC (NPI 1013932748) is a healthcare organization registered as a group psychotherapy in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Leonard Go, Doctor, as its authorized official.

NPPES Registry Identity

NPI1013932748

Entity TypeOrganization

Primary Taxonomy103TP2701X

Legal Business NameSOUTH SHORE LAKE FRONT SERVICES, INC

Location Address2619 E 75TH ST # 21Chicago, IL 60649-3705

Mailing Address2619 E 75th St # 21Chicago, IL 60649-3705 · (773) 375-1900 · Fax (773) 785-2091

Phone(773) 375-1900

Fax(773) 785-2091

Organization SubpartNo

Authorized OfficialLeonard GoDoctor · (773) 375-1900

Enumeration DateJuly 13, 2006

Last NPPES UpdateFebruary 8, 2008

✔ NPI 1013932748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

2619 E 75TH ST # 21, Chicago, IL 60649

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Other Identifiers 1

Medicare PIN211447IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 South Shore Lake Front Services, Inc's NPI number?

The NPI number for South Shore Lake Front Services, Inc is 1013932748. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is South Shore Lake Front Services, Inc located?

South Shore Lake Front Services, Inc is located at 2619 E 75th St # 21, Chicago, IL 60649. The listed phone number is (773) 375-1900.

What is South Shore Lake Front Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for South Shore Lake Front Services, Inc was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.