Individual
ELIZABETH ELLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4433 W TOUHY AVE # 335, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Mailing address
4433 W TOUHY AVE # 335, LINCOLNWOOD, IL 60712-1820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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