Provider Demographics
NPI:1164100194
Name:CUBACUB, ELKA MUSHKA (MSW)
Entity Type:Individual
Prefix:
First Name:ELKA
Middle Name:MUSHKA
Last Name:CUBACUB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ELKA
Other - Middle Name:MUSHKA
Other - Last Name:MELAMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6639 N ROCKWELL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5989
Mailing Address - Country:US
Mailing Address - Phone:773-895-9444
Mailing Address - Fax:
Practice Address - Street 1:1920 WAUKEGAN RD # 200
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1717
Practice Address - Country:US
Practice Address - Phone:773-527-6512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical