Individual
FABRICE ROBERT LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(773) 888-1681
(773) 409-5008
Mailing address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(954) 559-0073
(773) 409-5008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009410
IL
Other
Enumeration date
12/09/2016
Last updated
09/29/2020
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