Illuminate Psychological Assessments, LLC
Psychologist, Clinical in Wilmette, IL. Organization (NPI-2).
NPI number1982190633
StatusActive
Last updated in NPPESJul 5, 2018
Details
- NPI
- 1982190633
- Entity type
- Organization (NPI-2)
- Legal business name
- Illuminate Psychological Assessments, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2018
- Last updated
- Jul 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071009040 | IL | Yes |
Practice location
3330 Old Glenview Rd Ste 10Wilmette, IL 60091-2963
Phone 312-857-6393
Mailing address
3330 Old Glenview Rd Ste 10Wilmette, IL 60091-2963
Phone 312-857-6393
Authorized official
Lisa Novak
Manager/Clinical Psychologist
3128576393
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