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Individual

ELIZABETH LYNNE PEEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
26 DEER TRAIL DR, COLLINSVILLE, IL 62234-6817
(618) 791-2799
(618) 346-2325
Mailing address
26 DEER TRAIL DR, COLLINSVILLE, IL 62234-6817
(618) 791-2799
(618) 346-2325

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06032093
PROVIDER NUMBER FOR BCBS
IL
Enumeration date
03/27/2007
Last updated
07/08/2007
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