Provider Demographics
NPI:1790134526
Name:GELFMAN, ELIZABETH THERESE (MMSC, CGC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:THERESE
Last Name:GELFMAN
Suffix:
Gender:F
Credentials:MMSC, CGC
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:THERESE
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMSC
Mailing Address - Street 1:209 THELIN CT.
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091
Mailing Address - Country:US
Mailing Address - Phone:312-497-0066
Mailing Address - Fax:
Practice Address - Street 1:209 THELIN CT.
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091
Practice Address - Country:US
Practice Address - Phone:312-497-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
IL246.000384170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS