Provider Demographics
NPI:1417413378
Name:LOTUS CONSULTING GROUP LLC
Entity Type:Organization
Organization Name:LOTUS CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SWARR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-508-3460
Mailing Address - Street 1:360 N FERNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2102
Mailing Address - Country:US
Mailing Address - Phone:708-508-3460
Mailing Address - Fax:630-617-3255
Practice Address - Street 1:180 W PARK AVE STE 130
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3379
Practice Address - Country:US
Practice Address - Phone:708-508-3460
Practice Address - Fax:630-617-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health