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NPI Code Detail

MEDICARE: ALUNA THERAPY PLLC

MEDICARE: ALUNA THERAPY 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1700635570
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALUNA THERAPY 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 :
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 : 312-857-4017
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LYLA MARIE WAKUT
Credential :
Telephone Number : 216-280-6112
Provider Enumeration Date : 05/15/2024
Last Update Date : 02/10/2026

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Directions to “ALUNA THERAPY PLLC ” Practice Location

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