Individual
ELIZABETH LIDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
10 W PHILLIP RD STE 108, VERNON HILLS, IL 60061-1730
(847) 275-4115
Mailing address
790 NORTH AVE, HIGHLAND PARK, IL 60035-1351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10525
CA
235Z00000X
Speech-Language Pathologist
146014621
IL
Other
Enumeration date
04/04/2016
Last updated
01/15/2019
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