Illumination Psychotherapy, Pllc
NPI #1013557644 in Lincolnwood, Illinois
Provider Information
- NPI Number
- 1013557644
- Entity Type
- Organization
- Organization Name
- Illumination Psychotherapy, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 11, 2020
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 7300 N CICERO AVE STE 102A
- City
- Lincolnwood
- State
- Illinois
- ZIP Code
- 60712-1641
- Phone
- (773) 318-7304
Authorized Official
- Name
- GARRETT SHOTWELL, LCSW
- Title
- OWNER, CEO
- Phone
- (773) 318-7304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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