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Individual

JAMIE K LILIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2 NORTHFIELD PLAZA, SUITE 100, NORTHFIELD, IL 60093
(847) 446-3531
(847) 446-3573
Mailing address
2 NORTHFIELD PLAZA, SUITE 100, NORTHFIELD, IL 60093
(847) 446-3531
(847) 446-3573

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081646446
BCBS
IL
Enumeration date
08/06/2007
Last updated
08/06/2007
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