IndividualActive
Eliezer Margolis, PH.D.
NPI 1770560849 · Group Psychotherapy Psychologist · Evanston, IL
Provider details
- NPI number
- 1770560849
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
- Health Service Psychologist103TH0100X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Practice location
621 Madison St
Suite C
Evanston, IL 60202-2203
Phone: (847) 869-6236
Approximate (ZIP-level) locationGet directions
Mailing address
621 Madison St
Evanston, IL 60202-2203
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.