Most Relevant Information
Provider Data
| NPI Number: | 1003180266 |
| Provider Name: | ELISA TERRY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.014693 |
Most Important Dates
| Enumeration Date: | 03/05/2012 |
| Last Updated: | 03/05/2012 |
Provider Practice Location
3150 N SHERIDAN RD
#22A
CHICAGO
IL
606574811
Practice Location Phone/Fax
| Phone: | 7733279161 |
| Fax: |
Provider Mailing Location
3150 N SHERIDAN RD
#22A
CHICAGO
IL
606574811
Provider Mailing Phone/Fax
| Phone: | 7733279161 |
| Fax: |