Individual
DR. ELIZABETH J FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
211 ROBERT PARKER COFFIN RD, SUITE, LONG GROVE, IL 60047-9616
(708) 899-8150
(630) 410-8336
Mailing address
435 GRANT ST, LEMONT, IL 60439-4012
(708) 899-8150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007381
IL
Other
Enumeration date
10/05/2006
Last updated
10/31/2011
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