DR. MARY E. LAKE (NPI# 1518037126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518037126 |
| Entity Type | Individual |
| Full Name | DR. MARY E. LAKE |
| Credential | M.D. |
| Practice Address |
2300 N Childrens Plz # 10 Chicago IL 60614-3363 |
| Mailing Address |
2300 N Childrens Plz # 118 Chicago IL 60614-3363 |
| Practice Telephone | 7738804000 |
| Mailing Telephone | 7739758666 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036102561 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036102561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184161366 | Mary Yvonne Lake | Social Worker | 7407 Joseph St, Cincinnati, OH 45231-4437 | 2017-01-25 |
| 1326498767 | Mary Celeste Lake | Physical Therapist | 1635 21st St, Ogden, UT 84401-0908 | 2016-06-16 |
| 1821203100 | Mary T Lake | Speech-Language Pathologist | 15700 Terrace Dr # P102, Oak Forest, IL 60452-2959 | 2007-05-11 |
| 1972148344 | Mary Salmon Lake | Registered Nurse | 205 8th St, Hoquiam, WA 98550-2507 | 2019-11-08 |
| 1578671871 | Mary Alma Lake | Hospitalist | 1 Wellness Way, Suite B, Topsham, ME 04086-1768 | 2006-08-27 |
| Street Address |
2300 N CHILDRENS PLZ # 10 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760401582 | Mandy Lee Evans | Psychiatry & Neurology | 2300 N Childrens Plz # 10, Department of Child and Adolescent Psychiatry, Chicago, IL 60614-3363 | 2006-07-19 |
| 1730367350 | Children's Memorial Hospital | General Acute Care Hospital | 2300 N Childrens Plz # 10, Chicago, IL 60614-3363 | 2008-02-06 |
| 1598810103 | Marena Sabo | Social Worker | 2300 N Childrens Plz # 10, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-01-24 |
| 1649325358 | Amy Lafoon Wilde | Social Worker | 2300 N Childrens Plz # 10, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-01-24 |
| 1790830586 | Amy Laude | Social Worker | 2300 N Childrens Plz # 10, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-01-24 |
| 1467506782 | Frank Zelko | Psychologist | 2300 N Childrens Plz # 10, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-01-23 |
| 1740333491 | Miller Shivers | Psychologist | 2300 N Childrens Plz # 10, Children's Memorial Hospi, Chicago, IL 60614-3363 | 2007-01-18 |
| 1265503908 | Kathleen M. Mckenna | Psychiatry & Neurology | 2300 N Childrens Plz # 10, Chicago, IL 60614-3363 | 2006-11-13 |
| 1902977564 | Karen L. Pierce | Psychiatry & Neurology | 2300 N Childrens Plz # 10, Chicago, IL 60614-3363 | 2006-11-13 |
| 1508937186 | Sigita Plioplys | Psychiatry & Neurology | 2300 N Childrens Plz # 10, Chicago, IL 60614-3363 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1326372780 | Syiha Ltd | Psychiatry & Neurology | 6321 N Leavitt, Apt 1n, Chicago, IL 60659 | 2009-10-01 |
| 1568514263 | Robert Elliot Blaik | Psychiatry & Neurology | 1642 E. 56th St., #505, Chicago, IL 60637-1973 | 2007-01-16 |
| 1891865515 | Mina K. Dulcan | Psychiatry & Neurology | 225 East Chicago Ave. Box 10, Ann & Robert H. Lurie Childrens Hospital of Chicago, Chicago, IL 60611-2605 | 2006-11-09 |
| 1124198239 | Thomas K. Cummins | Psychiatry & Neurology | 225 E Chicago Ave # 10, Chicago, IL 60611-2605 | 2006-11-08 |
| 1801994769 | Peter D Nierman | Psychiatry & Neurology | 3730 North Lake Shore Drive, #15a, Chicago, IL 60613 | 2006-09-21 |
| 1578661781 | Adrienne L. Adams | Psychiatry & Neurology | 1720 W Polk St, Mfiv- Child Psychiatry, Chicago, IL 60612-4328 | 2006-09-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.