Organization
INTEGRATED LIFE SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE M. CRAVEN PH.D. (MANAGER)
(312) 802-2428
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE, SUITE 308, EVANSTON, IL 60201-4970
(800) 746-0245
Mailing address
2530 CRAWFORD AVE, SUITE 308, EVANSTON, IL 60201-4970
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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