Provider Demographics
NPI:1679807036
Name:BACHHUBER, ELIZABETH HELEN (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HELEN
Last Name:BACHHUBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 N MARINE DR
Mailing Address - Street 2:APT 633
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3969
Mailing Address - Country:US
Mailing Address - Phone:312-521-0778
Mailing Address - Fax:
Practice Address - Street 1:8324 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2545
Practice Address - Country:US
Practice Address - Phone:847-933-0051
Practice Address - Fax:847-933-0057
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health