Provider Demographics
NPI:1669846010
Name:LAWRENCE HALL
Entity Type:Organization
Organization Name:LAWRENCE HALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STRATEGIC INITIATIVES
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LEHOCKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-334-7304
Mailing Address - Street 1:2737 W PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3927
Mailing Address - Country:US
Mailing Address - Phone:773-728-0751
Mailing Address - Fax:773-728-0751
Practice Address - Street 1:2737 W PETERSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3927
Practice Address - Country:US
Practice Address - Phone:773-728-0751
Practice Address - Fax:773-728-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL01223110251B00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management