AURORA CHICAGO LAKESHORE HOSPITAL LLC
Psychiatric at Marine Dr, Chicago, IL

License number
Illinois 036109024
Category
Psychiatric
Type
Child & Adolescent Psychiatry
License number
Illinois 036118379
Category
Psychiatric
Type
Child & Adolescent Psychiatry
License number
Illinois 036111615
Category
Psychiatric
Type
Child & Adolescent Psychiatry
License number
Illinois 036113400
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: PHYLLIS REMER
Title: BILLING MGR
Phone: (847) 433-0057
Address
Address
4840 N Marine Dr, Chicago, IL 60640
National Provider ID: 1902130339
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AURORA CHICAGO LAKESHORE HOSPITAL, LLC

4840 N Marine Dr, Chicago, IL 60640

Industry:
Psychiatric Hospital
Doing business as:
Chicago Lakeshore Hospital
Registration:
Jun 27, 2002
State ID:
00734527
Business type:
Domestic LLC
Expiration:
PERPETUAL
Director, Director Of Environmental Servicess:
Michael H. Jutovsky (General Medical Practice, Medical Consultant, Clinical Director Of Intake As),Scott Feldman (Medical Director),Peter D. Nierman (Medical Doctor),...
Agent:
Northwest Registered Agent,1900 E Golf Rd STE 950A, Schaumburg, IL 60173 (Physical)

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