Individual
ELENI MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(708) 695-4774
Mailing address
840 W IRVING PARK RD, STE 302, CHICAGO, IL 60613-3011
(708) 695-4774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011208
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149.011208
—
IL
Enumeration date
03/23/2017
Last updated
08/24/2021
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