| Doctor Name: | DR. DEANNA ISABEL LULOFS |
| NPI Number: | 1083789945 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY D |
| License Number: | |
| Business Practice Address: | 1641 N Milwaukee Ave St #7 Adler Park Plaza Libertyville, IL - 600481350 |
| Business Phone Number: | 8473626919 |
| Business Fax Number: | 8472472220 |
| Mailing Address: | 674 Indian Ridge Drive, ANTIOCH |
| State: | IL |
| Postal Code: | 600023102 |
| Phone Number: | 8473959381 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |