ELEANOR AISENBERG


Address: 10024 Skokie Boulevard, Suite 312, Skokie, IL 60077
Phone: 3129729994

ELEANOR AISENBERG (NPI# 1033218649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033218649
Entity Type Individual
Full Name ELEANOR AISENBERG
Credential PSY. D.
Practice Address 10024 Skokie Boulevard
Suite 312
Skokie
IL 60077
Mailing Address 4136 Madison St.
Skokie
IL 60076
Practice Telephone 3129729994
Mailing Telephone 3129729994
Enumeration Date 2006-09-21
Last Update Date 2008-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071-005758 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 0001625467 01

Office Location

Street Address 10024 SKOKIE BOULEVARD
SUITE 312
City SKOKIE
State IL
Zip Code 60077

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1245721067 Lipnick Orthopaedics S.c. Orthopaedic Surgery 4856 Oakton Street, Skokie, IL 60077 2018-05-29
1376034991 Karen Bradley Nurse Practitioner 5143 Coyle Ave, Skokie, IL 60077 2018-05-21
1093217036 Arnold Arellano Pedorthist 5202 Old Orchard Road, N100, Skokie, IL 60077 2018-03-06
1043722408 Carolyn Mary Jarozewski I Registered Nurse 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 2017-10-25
1841718400 Katie Kluga Nurse Practitioner 9977 Woods Drive Suite 300, Skokie, IL 60077 2017-09-05
1265950091 Larry Asher Sidel Counselor 9530 Lamon Pl.apt 110, Skokie, IL 60077 2017-08-31
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184258808 Cleminson Psychological Services, LLC Psychologist 9933 Lawler Ave Ste 324, Skokie, IL 60077-3730 2020-03-03
1427575380 Heather Stephenson Psychologist 9501 Lawler Ave, Skokie, IL 60077-1274 2017-08-23
1376071886 Marla Debra Miller Psychologist 4040 Enfield Ave, Skokie, IL 60076-1934 2017-05-28
1790152635 Jessica Ellen Dubnow Psychologist 5550 Touhy Ave Ste 404, Skokie, IL 60077-3253 2015-08-26
1770830275 David N. Gershan Psychologist 8053 Kolmar Ave, Skokie, IL 60076-3114 2012-08-14
1326326778 Patricia S Cochran Psychologist 8707 Skokie Blvd Ste 310, Skokie, IL 60077-2281 2011-08-02
1962719013 Paul Thomas Riel Psychologist 8540 Leclaire St, Skokie, IL 60077-2135 2010-09-10
1750569224 Mary Frances Schneider Psychologist 5323 Galitz St, Skokie, IL 60077-2712 2008-02-06
1598944530 Laura S. Trakhtman Psychologist 8936 Niles Center Rd # D, Skokie, IL 60076-1847 2007-10-26
1780885772 Nydia Lelia Welles Psychologist 4019 Church St, Skokie, IL 60076-1773 2007-05-29
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Competitor

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City SKOKIE
Zip Code 60077

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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