Organization
WIBETO PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LURIE MD (OWNER)
(773) 253-9002
Entity
Organization
Contact information
Practice address
1820 W WEBSTER AVE STE 304, CHICAGO, IL 60614-4892
(773) 253-9002
Mailing address
1820 W. WEBSTER, UNITS 304 AND 307, CHICAGO, IL 60647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
11/06/2023
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