Individual
BAILEY ELIZABETH KAEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. REHAB. PSYCH.
Contact information
Practice address
4677 N VIRGINIA AVE, 1N, CHICAGO, IL 60625-2953
(708) 341-8222
(312) 929-0324
Mailing address
719 W HIGHLAND AVE, 3-8, ELGIN, IL 60123-5382
(608) 630-3407
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2013
Last updated
03/29/2013
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