Organization
ILLUMINATE PSYCHOLOGICAL ASSESSMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA NOVAK PSY.D. (MANAGER/CLINICAL PSYCHOLOGIST)
(312) 857-6393
Entity
Organization
Contact information
Practice address
3330 OLD GLENVIEW RD STE 10, WILMETTE, IL 60091-2963
(312) 857-6393
Mailing address
3330 OLD GLENVIEW RD STE 10, WILMETTE, IL 60091-2963
(312) 857-6393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009040
IL
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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