Individual
ELIZABETH A ROECHNER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
315 BRIDGE ST, JOLIET, IL 60435-6312
(815) 726-1074
Mailing address
315 BRIDGE ST, JOLIET, IL 60435-6312
(815) 726-1074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121084
—
IL
Enumeration date
09/11/2017
Last updated
07/21/2022
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