Lilac Treatment Centers LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LILAC TREATMENT CENTERS LLC

Practice address

5318-24 W Lawrence Ave
Chicago, IL 60630-3618

Phone

(773) 236-8496

Fax

(773) 236-8497

NPI assigned

Nov 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bill Gikopoulos

Title

President

Phone

(847) 530-6266

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1124320577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318-24 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303618",
            "telephone_number": "773-236-8496",
            "fax_number": "773-236-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318-24 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303618",
            "telephone_number": "773-236-8496",
            "fax_number": "773-236-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "GIKOPOULOS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-6266"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091684",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. PUSZKARSKI",
            "identifier": "1679606560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Lik, ND
• Alazar Addisu Likassa, MD
• Mihaela Liker, NURSE PRACTITIONER
• Lil'S Low Carb Inc
• Lilac Psychotherapy, PLLC
• Lilac Wellness and Relational Counseling, PLLC
• Lilah Handler & Associates
• Rachel Lile King, MD
• Zhanna Liliav, PHARM.D.
• Susannah Lilie, LCSW

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.