Lucas, Jeff W

Lucas, Jeff W is an sole proprietor health care provider with primary practice located at 2 Mid America Plz Suite 800, Oakbrook Terrace IL 60181-4451. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lucas, Jeff W can be contacted via phone (630) 916-9926.

Contact Information

Primary practice address
2 Mid America Plz Suite 800 Oakbrook Terrace IL 60181-4451
Phone: (630) 916-9926
Fax: (630) 916-9925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH 11990 Florida
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 180000760 Illinois

Profile Details

NPI number 1053683565
LBN Legal business name Lucas, Jeff W
Credentials PH.D. MSW, LCPC,LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2012
Last updated Sep 2nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053683565 NPPES
Florida Other 85591931 MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION
Florida Other MH 119990 MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION
Florida Other 180-000760 MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION

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