| Elisabeth Av Desapereira,md,ltd | |
|
1117 S Milwaukee Ave Suite B8 Libertyville IL 60048-3798 | |
| (847) 281-9990 | |
| (847) 295-0293 |
| Full Name | Elisabeth Av Desapereira,md,ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1117 S Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Elisabeth A V Desapereira (PRESIDENT) |
| Authorized Official Contact | 8473895930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Av Desapereira,md,ltd 3018 Parkside Dr Highland Park IL 60035-1067 Ph: (847) 433-0057 | Elisabeth Av Desapereira,md,ltd 1117 S Milwaukee Ave Suite B8 Libertyville IL 60048-3798 Ph: (847) 281-9990 |
| NPI Number | 1578648408 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578648408 | NPI | - | NPPES |
| 036049974 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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