Individual
ELIZABETH MARY BANASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611-5967
(312) 695-8182
(312) 695-4303
Mailing address
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611-5967
(312) 695-8182
(312) 695-4303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014348
IL
Other
Enumeration date
06/12/2018
Last updated
03/22/2021
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