Virruso, Elissa M

Virruso, Elissa M is an sole proprietor health care provider with primary practice located at 550 Fox Glen Ct , Barrington IL 60010-1833. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Virruso, Elissa M can be contacted via phone (847) 381-9870.

Contact Information

Primary practice address
550 Fox Glen Ct Barrington IL 60010-1833
Phone: (847) 381-9870
Fax: (847) 381-5059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071-005949 Illinois

Profile Details

NPI number 1811055205
LBN Legal business name Virruso, Elissa M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Apr 7th, 2015 - about 9 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 1811055205 NPPES
Illinois Other 04925370 BLUE CROSS BLUE SHIELD

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