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NPI Code Detail

MEDICARE: ELIZABETH ENTERKIN

MEDICARE: ELIZABETH ENTERKIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1023579497
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ENTERKIN
Provider Business Mailing Address
First Line : 1854 SHERMAN AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-3795
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1854 SHERMAN AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-3795
Country : US
Telephone Number : 857-565-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 03/28/2019

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Directions to “ ELIZABETH ENTERKIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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