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LAKE SHORE MENTAL HEALTH SERVICES
NPI 1417557968
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since October 26, 2020
7638 S EVANS AVE STE B, CHICAGO, IL 60619(728) 201-6911 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2021, Oct 26, 2020 (2 updates tracked since 2020).

About Lake Shore Mental Health Services NPPES

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

LAKE SHORE MENTAL HEALTH SERVICES (NPI 1417557968), doing business as Lake Shore Mental Health Services, Inc., is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since October 2020. The organization lists Annette N Diggs, President, as its authorized official.

NPPES Registry Identity

NPI1417557968
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLAKE SHORE MENTAL HEALTH SERVICES
Location Address7638 S EVANS AVE STE BChicago, IL 60619-2519
Mailing Address3685 Jackson StGary, IN 46408-1625 · (872) 201-6911
Phone(728) 201-6911
Organization SubpartNo
Authorized OfficialAnnette N DiggsPresident · (773) 559-0393
Enumeration DateOctober 26, 2020
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1417557968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
7638 S EVANS AVE STE B, Chicago, IL 60619
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Other Names 1

Former Legal Business NameLake Shore Mental Health Services, Inc.

Other Identifiers 1

Medicaid341763684002IL

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANNETTE NAOMI DIGGS RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7638 S EVANS AVE STE B
CHICAGO, IL 60619
Cook County (773) 559-0393

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 Lake Shore Mental Health Services's NPI number?

The NPI number for Lake Shore Mental Health Services is 1417557968. It was assigned to this organization in the NPPES registry on October 26, 2020. The provider was formerly known as Lake Shore Mental Health Services, Inc..

Where is Lake Shore Mental Health Services located?

Lake Shore Mental Health Services is located at 7638 S Evans Ave Ste B, Chicago, IL 60619. The listed phone number is (728) 201-6911.

What is Lake Shore Mental Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Lake Shore Mental Health Services was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.