1104209618 NPI number — ELIZABETH SAVAGE PSYCHOTHERAPY LLC

Table of content: (NPI 1104209618)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104209618 NPI number — ELIZABETH SAVAGE PSYCHOTHERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELIZABETH SAVAGE PSYCHOTHERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1104209618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1300 W BELMONT AVE
Provider Second Line Business Mailing Address:
SUITE 407
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60657-3200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-860-8779
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5210 N MAGNOLIA AVE
Provider Second Line Business Practice Location Address:
APT. 3E
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60640-2203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-860-8779
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SAVAGE
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
RACHAEL
Authorized Official Title or Position:
PSYCHOTHERAPIST
Authorized Official Telephone Number:
773-860-8779

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  180.008339 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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