| Jennifer S Lonosky Psyd | |
|
1105 W Park Ave Suite 2 Libertyville IL 60048-2567 | |
| (847) 362-5601 | |
| (847) 362-5611 |
| Full Name | Jennifer S Lonosky Psyd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1105 W Park Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Jennifer S Lonosky (SOLE PROPRIETOR) |
| Authorized Official Contact | 8473625601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer S Lonosky Psyd 1105 W Park Ave Suite 2 Libertyville IL 60048-2567 Ph: (847) 362-5601 | Jennifer S Lonosky Psyd 1105 W Park Ave Suite 2 Libertyville IL 60048-2567 Ph: (847) 362-5601 |
| NPI Number | 1124362736 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124362736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-006522 (Illinois) | Primary |
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