| Integrated Life Services, L.l.c. | |
|
2530 Crawford Ave Suite 308 Evanston IL 60201-4970 | |
| (800) 746-0245 | |
| Not Available |
| Full Name | Integrated Life Services, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2530 Crawford Ave, Evanston, Illinois |
| Authorized Official Name and Position | Lawrence M. Craven (MANAGER) |
| Authorized Official Contact | 3128022428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Life Services, L.l.c. 2530 Crawford Ave Suite 308 Evanston IL 60201-4970 Ph: () - | Integrated Life Services, L.l.c. 2530 Crawford Ave Suite 308 Evanston IL 60201-4970 Ph: (800) 746-0245 |
| NPI Number | 1568523207 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568523207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Illinois) | Primary |
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