Healthcare Provider Details

I. General information

NPI: 1588359566
Provider Name (Legal Business Name): DR. LAUREN SBARBARO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 NAPERVILLE WHEATON RD STE 206B
NAPERVILLE IL
60563-1558
US

IV. Provider business mailing address

555 31ST ST
DOWNERS GROVE IL
60515-1235
US

V. Phone/Fax

Practice location:
  • Phone: 630-672-8299
  • Fax:
Mailing address:
  • Phone: 630-515-7650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071.010627
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: