Basic Information
Provider Information
NPI: 1982115705
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAUNER
FirstName: STEPHANIE
MiddleName: CHRISTINE
NamePrefix: DR.
NameSuffix:  
Credential: ED.S; PSY.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 29373 NETWORK PL
Address2:  
City: CHICAGO
State: IL
PostalCode: 606731293
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8901 GOLF RD STE 301
Address2:  
City: DES PLAINES
State: IL
PostalCode: 600164029
CountryCode: US
TelephoneNumber: 8473189330
FaxNumber: 8477239583
Other Information
ProviderEnumerationDate: 10/19/2017
LastUpdateDate: 12/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TS0200X851515ILN Behavioral Health & Social Service ProvidersPsychologistSchool
103TC0700X071.009694ILY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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