Organization
LUMOS PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VASSILEVA PSY.D. (CLINICAL PSYCHOLOGIST / OWNER)
(312) 536-0807
Entity
Organization
Contact information
Practice address
1619 W COLONIAL PKWY STE 107, INVERNESS, IL 60067-4732
(312) 536-0807
(224) 567-4903
Mailing address
1619 W COLONIAL PKWY # 107, INVERNESS, IL 60067-4732
(312) 536-0807
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009581
IL
Other
Enumeration date
12/29/2017
Last updated
01/08/2019
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