Individual
EWELINA RENATA LAKOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 ROUTE 83, STE 211, LONG GROVE, IL 60047
(847) 370-2462
(847) 890-6750
Mailing address
4160 ROUTE 83, STE 211, LONG GROVE, IL 60047
(847) 370-2462
(847) 890-6750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011150
IL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
04/29/2026
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