Individual
ELIZABETH ROSE WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
17845 HENRY ST, LANSING, IL 60438-2357
(708) 474-4320
Mailing address
13980 AUSTIN ST, CEDAR LAKE, IN 46303-7608
(219) 713-3196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017196
IL
235Z00000X
Speech-Language Pathologist
46004190A
IN
Other
Enumeration date
08/29/2022
Last updated
08/20/2023
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