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Contact Information

ELISABETH AV DESAPEREIRA,MD,LTD
1117 S MILWAUKEE AVE
SUITE B8
LIBERTYVILLE, IL60048-3798
 Phone: 847-281-9990
 Fax: 847-295-0293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ELISABETH AV DESAPEREIRA,MD,LTD

NPI Number 1578648408
LBN Legal business name ELISABETH AV DESAPEREIRA,MD,LTD
Authorized official ELISABETH DESAPEREIRA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 08/08/2008 - About 18 years ago
Identifiers
IL Medicaid 036049974
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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