Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Deitemyer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679129365

Elizabeth Deitemyer is a Student in an Organized Health Care Education/Training Program in Springfield, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2501 Chatham Rd
Springfield, IL 62704-4188
Phone: (312) 529-0679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 — (312) 770-2317

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.026162 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679129365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2019
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address2555 W Catalpa Ave Apt 1c, Chicago, IL 60625-6708

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