Healthcare Provider Details

I. General information

NPI: 1346435880
Provider Name (Legal Business Name): CYNTHIA ANN CILUFFO L. C. S. W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7660 MARMORA AVE
SKOKIE IL
60077-2628
US

IV. Provider business mailing address

825 ELMWOOD AVE APT 3
EVANSTON IL
60202-4952
US

V. Phone/Fax

Practice location:
  • Phone: 847-967-1800
  • Fax:
Mailing address:
  • Phone: 847-570-0470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: