Dr Elizabeth Fazio & Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007381 Issued in IL

Legal business name

DR ELIZABETH FAZIO & ASSOCIATES, LLC

Practice address

4160 Route 83
Suite 307
Long Grove, IL 60047

Phone

(708) 899-8150

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Fazio, PSY.D.NPI 1518054386

Title

Owner

Phone

(708) 899-8150

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth J Fazio, PSYD

  • Clinical Psychologist
  • Long Grove, IL
  • NPI 1518054386
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1508306895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100613",
            "telephone_number": "815-521-1889",
            "fax_number": "815-521-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 ROUTE 83",
            "address_2": "SUITE 307",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "708-899-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELIZABETH FAZIO & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-899-8150",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Decker, PSYD
• Nichole Lee Demars, DDS
• Angela Rose Depa
• Daniel R. Di Iorio, MD, DC
• Donna Digloria, APN
• Dynamix Rehabilitation Services, Inc.
• Margarita Ekelman, MBA, RDN, LDN
• Kirk Wayne Erickson, PSY.D.
• Heidy Hwang Evans
• Shakeema Alexandra Facey, ARNP

• Clinical Psychologist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.