MEDICARE: DR. JEREMY LUCE MA, PSYD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	071.0100007	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	071.0100007	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1356744171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMY LUCE MA, PSYD

Provider Business Mailing Address
First Line	:	2451 N LINCOLN AVE STE 206
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1509
Country	:	US
Telephone Number	:	708-320-9694
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 N LINCOLN AVE STE 206
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1509
Country	:	US
Telephone Number	:	708-320-9694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	05/07/2019

Similar Medicare Providers

1972650802 — KELLER ORTHOTICS INC
Practice Location Address:

2451 N LINCOLN AVE
CHICAGO, IL
60614-1509

Practice Phone: 773-929-4700
Practice Fax: 773-929-4725

1922402239 — BACK HOME CHIROPRACTIC, S.C.
Practice Location Address:

2451 N LINCOLN AVE , SUITE 205
CHICAGO, IL
60614-1509

Practice Phone: 773-896-6299
Practice Fax:

1891191144 — XOCHITL SANDOVAL LCSW
Practice Location Address:

2451 N LINCOLN AVE
CHICAGO, IL
60614-1509

Practice Phone: 708-769-0782
Practice Fax:

1316302219 — LISA RIFE, LCSW
Practice Location Address:

2451 N LINCOLN AVE , 209
CHICAGO, IL
60614-1509

Practice Phone: 312-890-2243
Practice Fax:

1134667868 — CHICAGO THERAPY CENTERS
Practice Location Address:

2451 N LINCOLN AVE , SUITE 204
CHICAGO, IL
60614-1509

Practice Phone: 708-724-5668
Practice Fax: 773-661-2640

1407397490 — FRANK RISKA B.O.C.O.O., L.O.
Practice Location Address:

2451 N LINCOLN AVE
CHICAGO, IL
60614-1509

Practice Phone: 773-929-4700
Practice Fax: 773-929-4725

Directions to “ DR. JEREMY LUCE MA, PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.