Provider Demographics
NPI:1932342383
Name:GUILFOILE, ELIZABETH A (LMFT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:GUILFOILE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 N WAYNE AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5116
Mailing Address - Country:US
Mailing Address - Phone:770-540-1207
Mailing Address - Fax:
Practice Address - Street 1:6430 N WAYNE AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-5116
Practice Address - Country:US
Practice Address - Phone:770-540-1207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTMFT000417106H00000X
GAMFT001041106H00000X
IL166001109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist