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Organization

DRLULLABY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MEDALIE PSYD (CEO)
(224) 572-8470
Entity
Organization

Contact information

Practice address
400 W ONTARIO STREET, #512, CHICAGO, IL 60654
(224) 572-8470
Mailing address
1440 W TAYLOR ST # 556, CHICAGO, IL 60607-4623
(619) 997-5759

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/01/2021
Last updated
03/27/2023
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