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Jennifer S Lonosky Psyd

Psychologist, Clinical in Libertyville, IL. Organization (NPI-2).

NPI number1124362736
StatusActive
Last updated in NPPESNov 20, 2012

Details

NPI
1124362736
Entity type
Organization (NPI-2)
Legal business name
Jennifer S Lonosky Psyd
Organization subpart
No
Enumeration date
Nov 20, 2012
Last updated
Nov 20, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical071-006522ILYes

Practice location

1105 W Park Ave
Suite 2
Libertyville, IL 60048-2567

Phone 847-362-5601 · Fax 847-362-5611

Mailing address

1105 W Park Ave
Suite 2
Libertyville, IL 60048-2567

Phone 847-362-5601 · Fax 847-362-5611

Authorized official

Jennifer S Lonosky
Sole Proprietor
8473625601

Is something wrong?

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Other Clinical Psychologist providers in Libertyville, IL

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