Individual
MS. ELIZABETH M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
(708) 482-9454
Mailing address
2862 W 21ST ST, CHICAGO, IL 60623-3504
(312) 217-2554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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