ELISA JULIA LEE (NPI# 1215384292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215384292 |
| Entity Type | Individual |
| Full Name | ELISA JULIA LEE |
| Credential | MA, LPC |
| Practice Address |
6201 Cermak Rd Berwyn IL 60402-5742 |
| Mailing Address |
5435 S Long Ave Chicago IL 60638-2919 |
| Practice Telephone | 7087888808 |
| Mailing Telephone | (708) 800-5162 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178013267 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5435 S Long Ave, Chicago, IL 606382919 | 7088005162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497942171 | Elisa Petra Lee | Social Worker | 3957 Salt Creek Way, Ontario, CA 91761-0211 | 2007-09-26 |
| 1689178089 | Elisa Lee | Physical Therapist | 280 Us Highway 9, Morganville, NJ 07751-1572 | 2018-03-20 |
| 1396199667 | Elisa Lee | Psychologist | 5 W 86th St Apt 9c, New York, NY 10024-3664 | 2016-04-22 |
| 1790857506 | Elisa S. Lee | Pediatrics | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-15 |
| 1609975499 | Elisa Lee | Pharmacist | 11301 Wilshire Blvd # 119, Los Angeles, CA 90073-1003 | 2006-09-21 |
| Street Address |
6201 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205181328 | Angela Sue Zinzer | Social Worker | 6201 Cermak Rd, Berwyn, IL 60402-2331 | 2012-07-14 |
| 1992353510 | Deisy Rodriguez | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2019-08-27 |
| 1003335076 | Anna Katarina Berin | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2017-09-11 |
| 1093233389 | Katarzyna Maria Suarez | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2017-09-06 |
| 1295253961 | Alice F Song | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2017-09-01 |
| 1972057503 | Jeannette Sziler | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2016-08-11 |
| 1093268229 | Gricel Serrano | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-5742 | 2016-07-23 |
| 1659754158 | Robert Haas | Counselor | 6201 Cermak Rd, Berwyn, IL 60402-2331 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227995 | Jaclyn Wallen | Counselor | 6501 Stanley Ave, Berwyn, IL 60402-3123 | 2020-08-28 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1104312149 | Annie Elizabeth Baker | Counselor | 465 Winston Way, Berwyn, PA 19312-1145 | 2018-07-02 |
| 1457872731 | Andrew Thomas Lee | Counselor | 6200 Cermak Rd Fl 2, Berwyn, IL 60402-2322 | 2017-06-27 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| 1255614228 | Ivone Gutierrez | Counselor | 3245 Grove Ave Ste 104, Berwyn, IL 60402-3475 | 2011-09-26 |
| 1770716805 | Terri K Treiman | Counselor | 6918 Windsor Ave # B, Berwyn, IL 60402-3334 | 2009-08-24 |
| 1962644104 | Elizabeth Ann Brown | Counselor | 6 Porteous Rd, Berwyn, PA 19312-1275 | 2009-04-02 |
| 1477711638 | Specialized Rehabilitation Services, Inc | Counselor | 1347 Cuyler Ave, 2nd Floor, Berwyn, IL 60402-1391 | 2008-05-23 |
| 1447850557 | Sigita Lukauskaite | Counselor | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2020-10-28 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.