Provider Demographics
NPI:1689706988
Name:FREUND, LUCY D (PHD)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:D
Last Name:FREUND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 EAST WACKER DRIVE
Mailing Address - Street 2:SUITE 3901
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5115
Mailing Address - Country:US
Mailing Address - Phone:312-565-5945
Mailing Address - Fax:312-922-2735
Practice Address - Street 1:233 EAST WACKER DRIVE
Practice Address - Street 2:SUITE 3901
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5115
Practice Address - Country:US
Practice Address - Phone:312-565-5945
Practice Address - Fax:312-922-2735
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-001862103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL385790Medicare ID - Type Unspecified