Provider Demographics
NPI:1659643591
Name:CERVANTES, ELIZABETH A (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:A
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:MSW, LCSW
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Other - First Name:
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Mailing Address - Street 1:650 E DIEHL RD
Mailing Address - Street 2:STE 121
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4801
Mailing Address - Country:US
Mailing Address - Phone:630-983-0600
Mailing Address - Fax:630-983-3590
Practice Address - Street 1:650 E DIEHL RD
Practice Address - Street 2:STE 121
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4801
Practice Address - Country:US
Practice Address - Phone:630-983-0600
Practice Address - Fax:630-983-3590
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0151061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical