Harris, Elena Ruta Tijunelis

Harris, Elena Ruta Tijunelis is an sole proprietor health care provider with primary practice located at 6918 Windsor Ave , Berwyn IL 60402-3334. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Elena Ruta Tijunelis can be contacted via phone (708) 795-4800.

Contact Information

Primary practice address
6918 Windsor Ave Berwyn IL 60402-3334
Phone: (708) 795-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.012246 Illinois

Profile Details

NPI number 1669503215
LBN Legal business name Harris, Elena Ruta Tijunelis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Nov 2nd, 2007 - about 18 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 1669503215 NPPES
Illinois Other K45105 MEDICARE B

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