Provider Demographics
NPI:1114812500
Name:EMBREE, ELIZABETH KNAPP
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KNAPP
Last Name:EMBREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 PARK LN
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2316
Mailing Address - Country:US
Mailing Address - Phone:847-909-7555
Mailing Address - Fax:
Practice Address - Street 1:778 W FRONTAGE RD STE 101
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1209
Practice Address - Country:US
Practice Address - Phone:312-780-0820
Practice Address - Fax:877-716-4799
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician