Individual
DR. BETH MARIE ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
(312) 332-4281
Mailing address
3209 N LAKEWOOD AVE, CHICAGO, IL 60657-3215
(872) 274-4344
(866) 671-9991
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071007946
IL
103TC0700X
Clinical Psychologist
Primary
071.007946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007946
STATE OF ILLINOIS
IL
Enumeration date
09/12/2010
Last updated
12/11/2025
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