Individual
ELIZABETH PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LINDENTHAL AVE, HIGHLAND, IL 62249-2203
(618) 654-2107
Mailing address
400 BROADWAY, HIGHLAND, IL 62249-2024
(618) 654-2106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012208
IL
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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