Individual
DR. MARY ELIZABETH AVELLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2024 HICKORY RD STE 104, HOMEWOOD, IL 60430-2158
(312) 832-9858
(312) 822-0712
Mailing address
211 E OHIO ST APT 520, CHICAGO, IL 60611-3220
(312) 832-9858
(708) 365-6224
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071005023
IL
103TC0700X
Clinical Psychologist
Primary
071005023
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607451
BCBS IL
IL
Enumeration date
06/16/2005
Last updated
03/16/2026
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