Provider Demographics
NPI:1922430073
Name:JOSEPH-LUKZ, CHERYL L (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:L
Last Name:JOSEPH-LUKZ
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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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 1:1717 RAND RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-3509
Practice Address - Country:US
Practice Address - Phone:847-376-2100
Practice Address - Fax:847-390-8214
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional