Dr. Mary E. Lake is a Chicago, Illinois based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Mary E. Lake is 036102561 for Child & Adolescent in Illinois. Her current practice location is 2300 N Childrens Plz # 10, Chicago. Patients can reach her at 773-880-4000. Dr. Mary E. Lake is M.D. in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1518037126.
Dr. Mary E. Lake has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Mary E. Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Mary E. Lake |
| Specialization: | Child & Adolescent |
| Gender: | Female |
| Credentials: | M.D. |
| Practice Address: | 2300 N Childrens Plz # 10, Chicago,
Illinois, 60614-3363 |
| Phone: | 773-880-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1518037126 |
| NPI Enumeration Date: | 09 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary E. Lake are as mentioned below.
| License Number | Specialization | State | Status | |
| 036102561 | Child & Adolescent | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary E. Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 036102561 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Mary E. Lake
2300 N Childrens Plz # 118,
Chicago, Illinois |
| Zip: | 60614-3363 |
| Phone Number: | 773-975-8666 |
Patients can reach Dr. Mary E. Lake at
2300 N Childrens Plz # 10, Chicago, Illinois or can
call to book an appointment on 773-880-4000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.