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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