Provider Demographics
NPI:1720401128
Name:LUKOMSKI, MARGARET J (MA, LCPC, CADC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:J
Last Name:LUKOMSKI
Suffix:
Gender:F
Credentials:MA, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 N WABASH AVE
Mailing Address - Street 2:COURTYARD BUILDING
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2514
Mailing Address - Country:US
Mailing Address - Phone:312-573-8005
Mailing Address - Fax:312-573-7719
Practice Address - Street 1:730 N WABASH AVE
Practice Address - Street 2:COURTYARD BUILDING
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2514
Practice Address - Country:US
Practice Address - Phone:312-573-8005
Practice Address - Fax:312-573-7719
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180001581101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor