Provider Demographics
NPI:1881657856
Name:HUZIOR, EVA (LCPC)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:HUZIOR
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 1:720 W GORDON TER
Mailing Address - Street 2:APT. 6 K
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2269
Mailing Address - Country:US
Mailing Address - Phone:773-549-4648
Mailing Address - Fax:
Practice Address - Street 1:5201 N HARLEM AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1803
Practice Address - Country:US
Practice Address - Phone:773-467-9772
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional