| Lumos Psychology Llc | |
|
1619 W Colonial Pkwy Ste 107 Inverness IL 60067-4732 | |
| (312) 536-0807 | |
| (224) 567-4903 |
| Full Name | Lumos Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1619 W Colonial Pkwy Ste 107, Inverness, Illinois |
| Authorized Official Name and Position | Maria Vassileva (CLINICAL PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 3125360807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumos Psychology Llc 1619 W Colonial Pkwy # 107 Inverness IL 60067-4732 Ph: (312) 536-0807 | Lumos Psychology Llc 1619 W Colonial Pkwy Ste 107 Inverness IL 60067-4732 Ph: (312) 536-0807 |
| NPI Number | 1497262448 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 01/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497262448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071009581 (Illinois) | Primary |
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