Healthcare Provider Details
I. General information
NPI: 1740940972
Provider Name (Legal Business Name): DR. ELIZABETH HOZIAN, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2021
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 S MAIN ST STE 200
NAPERVILLE IL
60540-5485
US
IV. Provider business mailing address
50 S MAIN ST STE 200
NAPERVILLE IL
60540-5485
US
V. Phone/Fax
- Phone: 630-625-8805
- Fax: 910-375-5498
- Phone: 630-625-8805
- Fax: 910-375-5498
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
HOZIAN
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 630-625-8805