NPI Profile for Dr JEFF W LUCAS in OAKBROOK TERRACE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI Number | 1053683565 |
|
| Status | Active | |
| Credentials | PH.D. MSW, LCPC,LMHC | |
| Entity | Individual | |
| Enumeration date | 01/30/2012 | |
| Last updated | 09/02/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEFF W LUCAS
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