| Elizabeth Goodman Psychotherapy Pllc | |
|
211 E Lake St Ste 1a Addison IL 60101-2877 | |
| (312) 600-5196 | |
| Not Available |
| Full Name | Elizabeth Goodman Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 211 E Lake St Ste 1a, Addison, Illinois |
| Authorized Official Name and Position | Elizabeth Goodman (LCSW) |
| Authorized Official Contact | 5025442192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Goodman Psychotherapy Pllc 120 Kimberly Ln Lake Forest IL 60045-3889 Ph: (502) 544-2192 | Elizabeth Goodman Psychotherapy Pllc 211 E Lake St Ste 1a Addison IL 60101-2877 Ph: (312) 600-5196 |
| NPI Number | 1487263729 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 6103283460 |
|---|---|
| Medicare Enrollment ID | O20230706002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487263729 | NPI | - | NPPES |
| Provider Name | Elizabeth Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750826103 PECOS PAC ID: 1557728813 Enrollment ID: I20230706002699 |
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