SearchIllinois1041C0700X

Joanna Lackaye, LCSW

NPI 1497043764 · on the registry since 2011

Practice

Address
2736 N Southport Ave # 1
Chicago, IL 60614
Phone
(573) 356-7909

Additional practice sites

  • 4740 N Clark St, Chicago, IL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois