Provider Demographics
NPI:1508231473
Name:CHRISTOPHER D LUBAWSKI LCPC INC.
Entity Type:Organization
Organization Name:CHRISTOPHER D LUBAWSKI LCPC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:LUBAWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:630-988-6258
Mailing Address - Street 1:1350 HAASE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3419
Mailing Address - Country:US
Mailing Address - Phone:630-988-6258
Mailing Address - Fax:630-246-6809
Practice Address - Street 1:1809 N MILL ST
Practice Address - Street 2:SUITE C
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1288
Practice Address - Country:US
Practice Address - Phone:630-988-6258
Practice Address - Fax:630-246-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006849251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health