Individual
ELAINE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607
(312) 733-0883
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013472
IL
Other
Enumeration date
08/28/2016
Last updated
01/09/2019
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