| Ellen Lonnquist Pllc | |
|
1740 Ridge Ave Ste 201 Evanston IL 60201-5909 | |
| (847) 814-1734 | |
| (847) 475-7333 |
| Full Name | Ellen Lonnquist Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1740 Ridge Ave Ste 201, Evanston, Illinois |
| Authorized Official Name and Position | Ellen Lonnquist (THERAPIST) |
| Authorized Official Contact | 8478141734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Lonnquist Pllc 1740 Ridge Ave Ste 201 Evanston IL 60201-5909 Ph: (847) 814-1734 | Ellen Lonnquist Pllc 1740 Ridge Ave Ste 201 Evanston IL 60201-5909 Ph: (847) 814-1734 |
| NPI Number | 1790574424 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790574424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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