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Organization
LUMIERE CHILDREN'S THERAPY, LLC
Active
Organization
LUMIERE CHILDREN'S THERAPY, LLC
Active
Other names
Lumiere Children's Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VASILIKITSA ANTONOPOULOS M.A. CCC-SLP/L (OWNER/EXECUTIVE DIRECTOR)
(773) 206-7997
Entity
Organization
Contact information
Practice address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(312) 242-1665
(888) 972-7531
Mailing address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(773) 206-7997
(888) 972-7531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/22/2011
Last updated
01/18/2022
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