Provider Demographics
NPI:1538272497
Name:SLOAN, ELIZABETH ANN (MSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANHEAD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60525-9003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 E JEFFERSON AVE
Practice Address - Street 2:SUITE #203
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4905
Practice Address - Country:US
Practice Address - Phone:630-369-8885
Practice Address - Fax:708-246-8275
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14900015881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical