Provider Demographics
NPI:1588481600
Name:JOSEPH, LUKE OLUWADAMILARE (PHD, MPHIL, LMSW)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:OLUWADAMILARE
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:PHD, MPHIL, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8261 PECAN PL
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1768
Mailing Address - Country:US
Mailing Address - Phone:773-703-2922
Mailing Address - Fax:
Practice Address - Street 1:8261 PECAN PL
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1768
Practice Address - Country:US
Practice Address - Phone:773-703-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL15011814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty