Eliacin, Amy M

Eliacin, Amy M is an sole proprietor health care provider with primary practice located at 735 Saint Johns Ave Suite 100, Highland Park IL 60035-4649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eliacin, Amy M can be contacted via phone (847) 714-4323.

Contact Information

Primary practice address
735 Saint Johns Ave Suite 100 Highland Park IL 60035-4649
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1770700924
LBN Legal business name Eliacin, Amy M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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