| Nicole Larucci, Ltd | |
|
1301 Pyott Rd Ste 201e Lake In The Hills IL 60156-9797 | |
| (224) 703-6504 | |
| (224) 678-9652 |
| Full Name | Nicole Larucci, Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1301 Pyott Rd Ste 201e, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Nicole Larucci (OWNER/PROVIDER) |
| Authorized Official Contact | 6303383696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Larucci, Ltd 208 S Emerald Dr Mchenry IL 60051-3309 Ph: (630) 338-3696 | Nicole Larucci, Ltd 1301 Pyott Rd Ste 201e Lake In The Hills IL 60156-9797 Ph: (224) 703-6504 |
| NPI Number | 1639688641 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639688641 | NPI | - | NPPES |
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