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NPI Code Detail

MEDICARE: LAMPLIGHT PSYCHOLOGICAL SERVICES, PLLC

MEDICARE: LAMPLIGHT PSYCHOLOGICAL SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1346197365
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAMPLIGHT PSYCHOLOGICAL SERVICES, PLLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 708-316-8898
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 708-316-8898
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ADAM LURIE
Credential : PSYD
Telephone Number : 708-316-8898
Provider Enumeration Date : 03/11/2026
Last Update Date : 06/16/2026

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