# DIANE BUBECK LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diane Bubeck & Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609322791
- **Authorized official:** MRS. DIANE THERESE BUBECK RD, LMFT (OWNER/PRESIDENT)
- **Authorized official phone:** (630) 369-5645

## Contact information

- **Practice address:** 3528 BECKET LN, NAPERVILLE, IL 60564-4141
- **Practice address phone:** (630) 664-9702
- **Practice address fax:** (630) 369-5651
- **Mailing address:** 3528 BECKET LN, NAPERVILLE, IL 60564-4141
- **Mailing address phone:** (630) 369-5645
- **Mailing address fax:** (630) 369-5651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.000604 | IL | Yes |
| 133V00000X | Registered Dietitian | 164.001456 | IL | — |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016