Provider Demographics
NPI:1609981554
Name:GUZZIO, ELEANOR A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:A
Last Name:GUZZIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1432
Mailing Address - Country:US
Mailing Address - Phone:847-853-1544
Mailing Address - Fax:847-853-1544
Practice Address - Street 1:2030 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1432
Practice Address - Country:US
Practice Address - Phone:847-853-1544
Practice Address - Fax:847-853-1544
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0088381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical