MEDICARE: ELIZABETH CRUZ COUNSELING, PLLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770429979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH CRUZ COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2501 CHATHAM RD STE R
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4188
Country	:	US
Telephone Number	:	972-433-0208
Fax Number	:

Provider Business Practice Location Address
First Line	:	5412 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1223
Country	:	US
Telephone Number	:	972-433-0208
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH CRUZ
Credential	:	LCPC
Telephone Number	:	972-433-0208

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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