DR. ELIZABETH J FAZIO (NPI# 1518054386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518054386 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH J FAZIO |
| Credential | PSYD |
| Practice Address |
211 Robert Parker Coffin Rd Suite Long Grove IL 60047-9616 |
| Mailing Address |
435 Grant St Lemont IL 60439-4012 |
| Practice Telephone | 7088998150 |
| Practice Fax Number | 6304108336 |
| Mailing Telephone | 7088998150 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071007381 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| Street Address |
211 ROBERT PARKER COFFIN RD SUITE |
| City | LONG GROVE |
| State | IL |
| Zip Code | 60047-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922109156 | Roseanne Marie Boldt | Psychologist | 211 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2006-09-26 |
| 1609901586 | Nicole Marie Hoffman | Psychologist | 211 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 | 2007-02-22 |
| 1104974583 | Gretchen R Harro | Marriage & Family Therapist | 211 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 | 2007-01-08 |
| 1952468100 | Christine M Decker | Counselor | 211 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259370 | Mindy Waxman | Psychologist | 5860 Rock Dove Ct, Long Grove, IL 60047-5062 | 2019-01-29 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1255836896 | O'donohue Partners LLC | Psychologist | 4160 Rfd Ste 307, Long Grove, IL 60047-9586 | 2018-03-27 |
| 1508306895 | Dr Elizabeth Fazio & Associates, LLC | Psychologist | 4160 Route 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1528460235 | The Tree House Center for Growth and Learning | Psychologist | 4160 Rfd, Suite 211, Long Grove, IL 60047-9583 | 2014-09-24 |
| 1629346853 | Kirk Wayne Erickson | Psychologist | 4160 Route 83, Suite 204, Long Grove, IL 60047-5083 | 2011-12-02 |
| 1609901586 | Nicole Marie Hoffman | Psychologist | 211 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | LONG GROVE |
| Zip Code | 60047 |
Please comment or provide details below to improve the information on DR. ELIZABETH J FAZIO.
| 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.