Individual
MRS. ELISA N GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1055 175TH ST, SUITE 101, HOMEWOOD, IL 60430-4610
(312) 238-2177
Mailing address
26422 S GREENWOOD AVE, CRETE, IL 60417-4528
(708) 672-4375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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