Doctor Name: | ELEANOR AISENBERG |
NPI Number: | 1033218649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | 071-005758 |
Business Practice Address: | 10024 Skokie Boulevard Suite 312 Skokie, IL - 60077 |
Business Phone Number: | 3129729994 |
Business Fax Number: | |
Mailing Address: | 4136 Madison St., SKOKIE |
State: | IL |
Postal Code: | 60076 |
Phone Number: | 3129729994 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071-005758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |