Elisabeth Av Desapereira,MD,LTD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

ELISABETH AV DESAPEREIRA,MD,LTD

Practice address

1117 S Milwaukee Ave
Suite B8
Libertyville, IL 60048-3798

Phone

(847) 281-9990

Fax

(847) 295-0293

NPI assigned

Oct 26, 2006

Last updated

Aug 8, 2008By 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

Elisabeth A V Desapereira, M.D.NPI 1134196678

Title

President

Phone

(847) 389-5930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Elisabeth A. V. Desapereira, MD

  • Psychiatry Physician
  • Libertyville, IL
  • NPI 1134196678
  Authorized official Same address or phone
• Martin Neil Paisner, MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1588635411
  NPD (past)
• Venus Paxton, MD

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
  • NPI 1689603557
  NPD (past)
• Frederick J Yapelli, PH.D

  • Psychologist
  • Elmhurst, IL
  • NPI 1316958325
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1578648408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 PARKSIDE DR",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351067",
            "telephone_number": "847-433-0057",
            "fax_number": "847-432-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE",
            "address_2": "SUITE B8",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483798",
            "telephone_number": "847-281-9990",
            "fax_number": "847-295-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH AV DESAPEREIRA,MD,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "DESAPEREIRA",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "A V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-389-5930",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049974",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Eickelman
• Rebecca Marie Eisenman
• Kristen B Eisinger, PA-C
• Mariam Mahdi El-Baghdadi, M.D.
• Vinise Elackattu, PA
• Russell Elleven, DMIN, EDD
• George Bernard Elvove, M.D.
• Emergency Surgical Services of Lake County LLC
• Renee Lee Emery, MS, OTR/L
• Encompass Health Rehabilitation Hospital of Libertyville, LLC (Encompass Health Rehabilitation Institute of Libertyville)

• Child & Adolescent Psychiatry Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.