Individual
MRS. ELIZABETH ANN NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLPL
Contact information
Practice address
1016 N MARSHFIELD AVE, # 1, CHICAGO, IL 60622-3820
(773) 220-6812
(773) 486-0176
Mailing address
1016 N MARSHFIELD AVE, # 1, CHICAGO, IL 60622-3820
(773) 486-0176
(773) 486-0176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635115
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
07/08/2007
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