Individual
ELAINE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP-CF
Contact information
Practice address
601 BLANCHARD RD, WAUKEGAN, IL 60087-3146
(224) 303-1570
Mailing address
1201 N SHERIDAN RD, WAUKEGAN, IL 60085-2081
(224) 303-1029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006019
IL
Other
Enumeration date
07/27/2020
Last updated
07/30/2020
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