Organization
ELISSA M VIRRUSO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA VIRRUSO PSY.D. (OWNER/PRESIDENT)
(847) 769-7200
Entity
Organization
Contact information
Practice address
800 S NORTHWEST HWY, SUITE 102A, BARRINGTON, IL 60010-4652
(847) 381-9870
(847) 381-5059
Mailing address
800 S NORTHWEST HWY, SUITE 102A, BARRINGTON, IL 60010-4652
(847) 381-9870
(847) 381-5059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005949
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04925370
BCBS
—
Enumeration date
02/19/2008
Last updated
01/05/2009
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