Individual
ELIZABETH KRISTINE PASSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
122 8TH ST, STANDARD, IL 61363-1233
(815) 257-7465
Mailing address
PO BOX 242, STANDARD, IL 61363-0242
(815) 257-7465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005399
IL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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