Healthcare Provider Details

I. General information

NPI: 1790096303
Provider Name (Legal Business Name): ELIZABETH L SEKEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 OLDE HALF DAY RD SUITE 210
LINCOLNSHIRE IL
60069-3061
US

IV. Provider business mailing address

175 OLDE HALF DAY RD SUITE 210
LINCOLNSHIRE IL
60069-3061
US

V. Phone/Fax

Practice location:
  • Phone: 847-777-6922
  • Fax: 847-777-6923
Mailing address:
  • Phone: 847-777-6922
  • Fax: 847-777-6923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.003470
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: