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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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