Individual
ELIZABETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005468
IL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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