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Organization

NEUROWELLNESS, LLC

Active
Other names
Neurowellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELISSA SHOEMAKER PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(773) 746-7001
Entity
Organization

Contact information

Practice address
2835 N SHEFFIELD AVE STE 202, CHICAGO, IL 60657-5083
(773) 389-4600
(773) 938-4700
Mailing address
2726 N LAKEWOOD AVE, CHICAGO, IL 60614-3629
(773) 746-7001
(773) 938-4600

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071008951
ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATIONS
IL
Enumeration date
10/03/2017
Last updated
07/29/2020
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