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Search › Illinois › 1041C0700X

David Lysakowski, LCSW

NPI 1245816826 · on the registry since 2021

Practice

Address
5900 Bond Ave
Centreville, IL 62207
Phone
(619) 332-5302
Fax
(618) 332-5285
Organisation at this address
Southern Illinois Healthcare Foundation, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois