| Doctor Name: | ANITA KAY EISENSTEIN |
| NPI Number: | 1053531723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071.004906 |
| Business Practice Address: | 22010 W Washington St Grayslake, IL - 600301052 |
| Business Phone Number: | 3125041913 |
| Business Fax Number: | 8475480298 |
| Mailing Address: | 22010 W Washington St, GRAYSLAKE |
| State: | IL |
| Postal Code: | 600301052 |
| Phone Number: | 3125041913 |
| Fax Number: | 8475480298 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071.004906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |