Provider Demographics
NPI:1790527943
Name:LACHMAN, PETER ALYSSA (LSW)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:ALYSSA
Last Name:LACHMAN
Suffix:
Gender:U
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 W LOYOLA AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5214
Mailing Address - Country:US
Mailing Address - Phone:737-336-4414
Mailing Address - Fax:
Practice Address - Street 1:840 W IRVING PARK RD STE 302&304
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3011
Practice Address - Country:US
Practice Address - Phone:773-659-9207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker