Lakar Enterprise LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAKAR ENTERPRISE LLC

Practice address

15525 S Park Ave Ste 114
South Holland, IL 60473-1380

Phone

(708) 263-9512

Fax

(708) 825-1244

NPI assigned

Mar 21, 2012

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elvina Stegall, MHS,CADC, DASANPI 1699184846

Title

Owner

Phone

(708) 263-9512

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elvina Stegall

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Holland, IL
  • NPI 1699184846

  Rehabilitation, Substance Use Disorder

  NPD (past) Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1992070031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 171ST ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381105",
            "telephone_number": "708-263-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 S PARK AVE STE 114",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731380",
            "telephone_number": "708-263-9512",
            "fax_number": "708-825-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKAR ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "STEGALL",
        "authorized_official_first_name": "ELVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-263-9512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS,CADC, DASA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A58520002A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia E. King
• Leta M Knighten, R.PH
• Allison G Kocher
• Timothy J Krygsheld, DPM, FACFAS
• Yarah Kudaimi
• Lakeview Healthcare Services, Inc.
• Gail Landry, OT
• Jocelyn Lara
• Larry E. Zollinger, D.D.S. PC
• Babajide Lawal

• Substance Use Disorder Rehabilitation Clinic/Center in South Holland, IL
• Providers in South Holland, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.