Fazio, Elizabeth J

Fazio, Elizabeth J is an sole proprietor health care provider with primary practice located at 211 Robert Parker Coffin Rd Suite, Long Grove IL 60047-9616. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fazio, Elizabeth J can be contacted via phone (708) 899-8150.

Contact Information

Primary practice address
211 Robert Parker Coffin Rd Suite Long Grove IL 60047-9616
Phone: (708) 899-8150
Fax: (630) 410-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007381 Illinois

Profile Details

NPI number 1518054386
LBN Legal business name Fazio, Elizabeth J
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Oct 31st, 2011 - about 13 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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