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DR. ELIEZER TZVI MARGOLIS PH.D. NPI 1770560849


NPI Information

NPI: 1770560849
Provider Name: DR. ELIEZER TZVI MARGOLIS, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
621 MADISON ST
SUITE C
EVANSTON, IL
ZIP 60202
Phone: (847) 869-6236
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DR. Eliezer Tzvi Margolis, PH.D. is a clinical psychologist in Evanston, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Eliezer Tzvi Margolis, PH.D. NPI is 1770560849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621 MADISON ST
SUITE C
EVANSTON, IL
ZIP 60202-203
Phone: (847) 869-6236

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalILLINOISYes
2103G00000XClinical NeuropsychologistILLINOISX
3103TR0400XPsychologistRehabilitationILLINOISX
4103TH0100XPsychologistHealth ServiceILLINOISX
5106H00000XMarriage & Family TherapistILLINOISX
6103T00000XPsychologistILLINOISX
7103TA0700XPsychologistAdult Development & AgingILLINOISX
8103TC1900XPsychologistCounselingILLINOISX
9103TF0000XPsychologistFamilyILLINOISX
10103TF0200XPsychologistForensicILLINOISX
11103TP2701XPsychologistGroup PsychotherapyILLINOISX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1985470MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2R19467MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.