Provider Demographics
NPI:1497191365
Name:SAVAGE, ELIZABETH RACHAEL (LCPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RACHAEL
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W BUENA AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1612
Mailing Address - Country:US
Mailing Address - Phone:773-665-8052
Mailing Address - Fax:708-660-4301
Practice Address - Street 1:800 W BUENA AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1612
Practice Address - Country:US
Practice Address - Phone:773-665-8052
Practice Address - Fax:708-660-4301
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional