Luisa Ellenbogen

NPI #1962379628 in Deerfield, Illinois

Provider Information

NPI Number: 1962379628
Entity Type: Individual
Name: Luisa Ellenbogen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 18, 2025
Last Updated: Oct 18, 2025

Practice Location

Address: 770 LAKE COOK RD STE 105
City: Deerfield
State: Illinois
ZIP Code: 60015-4920
Phone: (866) 220-8371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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