Elizabeth Schallack, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-006139 Issued in IL

Practice address

642 S Lombard Ave
Oak Park, IL 60304-1606

Phone

(630) 567-8141

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emh Dupage PLLCGroup PAC ID 0941687487, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emh Dupage PLLC

  • Mental Health Counselor
  • Downers Grove, IL
  • NPI 1164179529
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1871654178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BELLEFORTE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021623",
            "telephone_number": "630-567-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S LOMBARD AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041606",
            "telephone_number": "630-567-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLACK",
        "first_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis B. Scannicchio, DMD
• James E Scapillato, D.D.S.
• Lindsey N. Scarlett, LCPC
• Rachel Schaefer, NP
• Timothy Edward Schainker, M.D.
• Mary Caitlin Schantz, NP
• Paul C Schattauer, M.D.
• David Schatz, MD
• Scheck & Siress Prosthetics, Inc
• Susan Schiff, MSW

• Professional Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.