| NPI | 1316764343 | 
|---|---|
| Doing Business As | LUMICLINICS PSYCHIATRY | 
| Entity Type | Organization | 
| Authorized Contact | CHRISTIAN CHARVET CEO 847-907-0660  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-23 | 
| Last Update Date | 2025-07-10 |