Doctor Name: | MS. ELIZABETH ANN WHITEHEAD |
NPI Number: | 1013175462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., L.P.C. |
License Number: | 178.004723 |
Business Practice Address: | 40 Timberline Dr Lemont, IL - 604393848 |
Business Phone Number: | 6303432330 |
Business Fax Number: | 6302579645 |
Mailing Address: | 40 Timberline Dr, LEMONT |
State: | IL |
Postal Code: | 604393848 |
Phone Number: | 6303432330 |
Fax Number: | 6302579645 |
NPI Enumeration Date: | 05/31/2008 |
NPI Last Update Date: | 05/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.004723 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |