Individual
MS. ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3033 W TOUHY AVE, CHICAGO, IL 60645-2833
(773) 516-5508
(847) 676-0574
Mailing address
3033 W TOUHY AVE, CHICAGO, IL 60645-2833
(773) 516-5508
(847) 676-0574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020212
IL
Other
Enumeration date
03/24/2017
Last updated
06/24/2019
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