Desapereira, Elisabeth A. V.

Desapereira, Elisabeth A. V. is an sole proprietor health care provider with primary practice located at 1117 S Milwaukee Ave Suite B8, Libertyville IL 60048-3798. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Desapereira, Elisabeth A. V. can be contacted via phone (847) 816-9180.

Contact Information

Primary practice address
1117 S Milwaukee Ave Suite B8 Libertyville IL 60048-3798
Fax: (847) 295-0293
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036049974 Illinois

Profile Details

NPI number 1134196678
LBN Legal business name Desapereira, Elisabeth A. V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Aug 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196678 NPPES
Illinois MEDICAID 036049974

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