Individual
ELIZABETH ANN GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N MAIN ST, WINCHESTER, IL 62694-1074
(217) 370-5953
Mailing address
121 N MAIN ST, WINCHESTER, IL 62694-1074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004142
IL
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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