Individual
ELIZABETH PETRUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2542 W NORTH AVE, CHICAGO, IL 60647-5216
(224) 240-4045
Mailing address
2542 W NORTH AVE, CHICAGO, IL 60647-5216
(224) 240-4045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.010650
IL
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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