| Lunare Wellness Llc | |
|
725 Washington St Evanston IL 60202-2283 | |
| (720) 273-6461 | |
| Not Available |
| Full Name | Lunare Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 725 Washington St, Evanston, Illinois |
| Authorized Official Name and Position | Lauren Lynn Zerbst (OWNER) |
| Authorized Official Contact | 7737972238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lunare Wellness Llc 1428 W Jarvis Ave Chicago IL 60626 Ph: (720) 273-6461 | Lunare Wellness Llc 725 Washington St Evanston IL 60202-2283 Ph: (720) 273-6461 |
| NPI Number | 1083060537 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Medicare PECOS PAC ID | 5193156792 |
|---|---|
| Medicare Enrollment ID | O20200515000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083060537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016297 (Illinois) | Primary |
| Provider Name | Lauren L Zerbst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225328065 PECOS PAC ID: 6002137098 Enrollment ID: I20150602002458 |
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