Provider Demographics
NPI:1669935219
Name:SCHLESSINGER, ELIZABETH S (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:S
Last Name:SCHLESSINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 W MEDICAL CENTER DR STE B310
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-8441
Mailing Address - Country:US
Mailing Address - Phone:847-802-7090
Mailing Address - Fax:
Practice Address - Street 1:4309 W MEDICAL CENTER DR STE B310
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8441
Practice Address - Country:US
Practice Address - Phone:847-802-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036171533208800000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program