Individual
ELLIE MIRA TREFZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(800) 543-7362
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001217
IL
Other
Enumeration date
07/06/2009
Last updated
01/16/2019
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