Dr Damita Sunwolf Larue, PSYD, FT, CCISM in Chicago, IL

Dr Damita Sunwolf Larue, PSYD, FT, CCISM is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. Her current practice location is 5547 N Ravenswood Ave Ste 103, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 609-2069.

Dr Damita Sunwolf Larue is licensed to practice in Illinois (license number 071.009773) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194272211.

Contact Information

	Dr Damita Sunwolf Larue, PSYD, FT, CCISM
	5547 N Ravenswood Ave Ste 103, Chicago, IL 60640-1125
	(773) 609-2069
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Damita Sunwolf Larue
Gender	Female
Speciality
Experience	Years
Location	5547 N Ravenswood Ave Ste 103, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Damita Sunwolf Larue attended and graduated from in

NPI Data:

NPI Number: 1194272211
Provider Enumeration Date: 09/07/2016
Last Update Date: 08/06/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Damita Sunwolf Larue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194272211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3563-57 (Wisconsin)	Secondary
103TC0700X	Psychologist - Clinical	20043101A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	114769 (Alaska)	Secondary
103TC0700X	Psychologist - Clinical	071.009773 (Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Damita Sunwolf Larue is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Damita Sunwolf Larue, PSYD, FT, CCISM 5547 N Ravenswood Ave Ste 103, Chicago, IL 60640-1125 Ph: (773) 609-2069	Dr Damita Sunwolf Larue, PSYD, FT, CCISM 5547 N Ravenswood Ave Ste 103, Chicago, IL 60640-1125 Ph: (773) 609-2069

Reviews and Comments

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Dr Damita Sunwolf Larue, PSYD, FT, CCISM - Medicare Psychologist in Chicago, IL