Individual
ELISABETH A. V. DESAPEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1117 S MILWAUKEE AVE, SUITE B8, LIBERTYVILLE, IL 60048-3798
(847) 816-9180
(847) 295-0293
Mailing address
3018 PARKSIDE DR, HIGHLAND PARK, IL 60035-1067
(847) 433-0057
(847) 432-2174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036049974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049974
—
IL
Enumeration date
03/03/2006
Last updated
08/08/2008
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