Individual
DR. ELISSA M VIRRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 381-9870
(847) 381-5059
Mailing address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 381-9870
(847) 381-5059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-005949
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04925370
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/05/2006
Last updated
04/07/2015
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