| NPI | 1316764343 |
|---|---|
| Doing Business As | LUMICLINICS PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN CHARVET CEO 847-907-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |