Individual
ELIZABETH ANN BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16358 E LAKEVIEW LN, LEWISTOWN, IL 61542-9268
(309) 547-2677
Mailing address
16358 E LAKEVIEW LN, LEWISTOWN, IL 61542-9268
(309) 547-2677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006726
IL
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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