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Organization
ELEVATION PEDIATRIC THERAPY LLC
Active
Organization
ELEVATION PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA WOODDELL MS CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(815) 992-0376
Entity
Organization
Contact information
Practice address
26556 N 400 EAST RD, ANCONA, IL 61311-9805
(815) 992-0376
Mailing address
26556 N 400 EAST RD, ANCONA, IL 61311-9805
(815) 992-0376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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