Provider Demographics
NPI:1134662042
Name:HOSSFELD, ELIZABETH KATHRYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHRYN
Last Name:HOSSFELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4801 W PETERSON AVE STE 601
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5728
Mailing Address - Country:US
Mailing Address - Phone:847-329-9210
Mailing Address - Fax:773-347-2656
Practice Address - Street 1:191 WAUKEGAN RD STE 208
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-2743
Practice Address - Country:US
Practice Address - Phone:847-329-9210
Practice Address - Fax:773-347-2656
Is Sole Proprietor?:No
Enumeration Date:2016-11-24
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.010313103TC0700X
IL178.011193103TA0700X, 103TB0200X, 103TC0700X, 103TP2701X, 103TR0400X, 106H00000X, 102L00000X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth