Provider Demographics
NPI:1932264538
Name:MAKOWSKI, ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:MAKOWSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:QUINTESSENTIAL HUMAN
Other - Middle Name:
Other - Last Name:SERVICES, INC.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:880 LEE ST
Mailing Address - Street 2:SUITE # 208
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6420
Mailing Address - Country:US
Mailing Address - Phone:847-710-0144
Mailing Address - Fax:
Practice Address - Street 1:880 LEE ST
Practice Address - Street 2:SUITE # 208
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6420
Practice Address - Country:US
Practice Address - Phone:847-710-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490075681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL431984059OtherTIN