Provider Demographics
NPI:1922236595
Name:GEARY, ELIZABETH KATHARINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHARINE
Last Name:GEARY
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:909 DAVIS ST
Mailing Address - Street 2:STE 160
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3683
Mailing Address - Country:US
Mailing Address - Phone:847-425-6425
Mailing Address - Fax:847-425-6408
Practice Address - Street 1:909 DAVIS ST
Practice Address - Street 2:STE 160
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3683
Practice Address - Country:US
Practice Address - Phone:847-425-6425
Practice Address - Fax:847-425-6408
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2021-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL071.007606103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist