Provider Demographics
NPI:1053705145
Name:CYNTHIA CILUFFO, LCSW
Entity type:Organization
Organization Name:CYNTHIA CILUFFO, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CILUFFO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-868-3719
Mailing Address - Street 1:809 RIDGE AVE
Mailing Address - Street 2:#3
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-4341
Mailing Address - Country:US
Mailing Address - Phone:847-868-3719
Mailing Address - Fax:
Practice Address - Street 1:809 RIDGE AVE
Practice Address - Street 2:#3
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-4341
Practice Address - Country:US
Practice Address - Phone:847-868-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0122691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty