Provider Demographics
NPI:1770952657
Name:YOO, ELIZABETH (MA, LCPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:YOO
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:YOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:1616 EAST ROOSEVELT ROAD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-588-1201
Mailing Address - Fax:630-588-1209
Practice Address - Street 1:1616 EAST ROOSEVELT ROAD
Practice Address - Street 2:SUITE #8
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-588-1201
Practice Address - Fax:630-588-1209
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180.012469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health