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Individual

DR. ELIZABETH THEODOSAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., LCPC, CADC

Contact information

Practice address
350 VOLTZ RD, NORTHBROOK, IL 60062-4824
(847) 644-6306
Mailing address
350 VOLTZ RD, NORTHBROOK, IL 60062-4824
(847) 644-6306

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18000-3009
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
IL
Enumeration date
06/27/2022
Last updated
06/27/2022
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