Individual
ELIZABETH TELICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622
(312) 770-2017
(312) 770-2557
Mailing address
7318 LAKE ST, RIVER FOREST, IL 60305-2230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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