Provider Demographics
NPI:1639220460
Name:LIMBERAKIS, ELIZABETH (PNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:LIMBERAKIS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:LIMBERAKIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:900 N WESTMORELAND RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1674
Mailing Address - Country:US
Mailing Address - Phone:847-482-0273
Mailing Address - Fax:847-615-1708
Practice Address - Street 1:900 N WESTMORELAND RD
Practice Address - Street 2:SUITE 217
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1674
Practice Address - Country:US
Practice Address - Phone:847-482-0273
Practice Address - Fax:847-615-1708
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005326163WP0200X
IL041289359363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics