Provider Demographics
NPI:1861691131
Name:DRS, LAPPORTE, WRIGHT & ASSOC., P.C.
Entity type:Organization
Organization Name:DRS, LAPPORTE, WRIGHT & ASSOC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-299-3628
Mailing Address - Street 1:1580 N NORTHWEST HWY STE 121B
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1462
Mailing Address - Country:US
Mailing Address - Phone:847-299-3628
Mailing Address - Fax:800-840-7159
Practice Address - Street 1:1580 N NORTHWEST HWY
Practice Address - Street 2:SUITE 224-A
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1444
Practice Address - Country:US
Practice Address - Phone:847-299-3628
Practice Address - Fax:847-236-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060-006117103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty