Individual
ELIZABETH KOTLYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3550 N LAKE SHORE DR, 608, CHICAGO, IL 60657-1944
(224) 639-6657
Mailing address
3550 N LAKE SHORE DR, 608, CHICAGO, IL 60657-1944
(224) 639-6657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008975
IL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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