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 |