Provider Demographics
NPI:1477527059
Name:MAY, ELAINE KEEFER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:KEEFER
Last Name:MAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:JOYCE
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:185 HEATHROW COURT
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1922
Mailing Address - Country:US
Mailing Address - Phone:847-295-6945
Mailing Address - Fax:
Practice Address - Street 1:3001A SIXTH STREET
Practice Address - Street 2:
Practice Address - City:GREAT LAKES
Practice Address - State:IL
Practice Address - Zip Code:60088-2833
Practice Address - Country:US
Practice Address - Phone:847-688-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical