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Search › Illinois › 103TC0700X

Luis Mayolo, PSYD

NPI 1821455312 · on the registry since 2016 · sole proprietor

Practice

Address
1725 S Naperville Rd
Suite 206
Wheaton, IL 60189
Phone
(630) 653-8409
Fax
(630) 653-8409
Organisation at this address
Brian Timothy Madvig
Genesis Clinical Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-28

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