Fisk Walsh, Elizabeth Louise

Fisk Walsh, Elizabeth Louise is an individual health care provider with primary practice located at 30 N Michigan Ave Suite 1516, Chicago IL 60602-3402. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fisk Walsh, Elizabeth Louise can be contacted via phone (312) 514-5689.

Contact Information

Primary practice address
30 N Michigan Ave Suite 1516 Chicago IL 60602-3402
Phone: (312) 514-5689
Fax: (312) 943-8721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1871568584
LBN Legal business name Fisk Walsh, Elizabeth Louise
Credentials M.A., L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1871568584 NPPES
Illinois Other 7393766 AETNA PIN
Illinois Other 01635454 AETNA PIN
Illinois Other 361350 AETNA PIN

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