| Doctor Name: | DR. ELIZABETH A SUKOWICZ |
| NPI Number: | 1134215130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 071-006392 |
| Business Practice Address: | 107 E Sumner St Suite 1 Harvard, IL - 600332840 |
| Business Phone Number: | 8158144193 |
| Business Fax Number: | 8159536540 |
| Mailing Address: | 107 E Sumner St, Suite 1 HARVARD |
| State: | IL |
| Postal Code: | 600332840 |
| Phone Number: | 8158144193 |
| Fax Number: | 8159536540 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 08/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071-006392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |