Individual
ELIZABETH M PIAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 S KEDZIE AVE, CHICAGO, IL 60623-5114
(312) 564-5246
Mailing address
3350 S KEDZIE AVE, CHICAGO, IL 60623-5114
(312) 564-5246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178011566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178011566
—
IL
Enumeration date
01/18/2017
Last updated
01/18/2017
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