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

LAKESIDE COMMUNITY COMMITTEE
NPI 1679951917
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since May 06, 2015
7418 S COTTAGE GROVE AVE, CHICAGO, IL 60619(773) 224-9217(773) 224-9468 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2023, Mar 27, 2016 (2 updates tracked since 2016).

About Lakeside Community Committee NPPES

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

LAKESIDE COMMUNITY COMMITTEE (NPI 1679951917) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since May 2015. The organization lists Jackie Sharp, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1679951917
Entity TypeOrganization
Primary Taxonomy261QM0801X
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 OfficialJackie SharpPresident Ceo · (773) 224-9217
Enumeration DateMay 6, 2015
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1679951917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7418 S COTTAGE GROVE AVE, Chicago, IL 60619
Open in Google Maps ↗

Other Identifiers 1

Medicaid15003IL

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 (Adolescent and Children Mental Health)
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 1679951917. It was assigned to this organization in the NPPES registry on May 6, 2015.

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 Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Lakeside Community Committee was last updated on December 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.