Elizabeth Marian McKinzie, M.S

Individual provider Active NPI Speech-Language Pathologist · Albion, IL

NPI 1073405254 · NPPES record last updated Jul 21, 2025

Key facts

NPI
1073405254
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242007797 (IL)
Practice address
627 County Road 1275 N
Albion, IL 62806-4156
Phone
(630) 877-7058
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242007797ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242007797 IL Yes

Addresses

Primary practice location

627 County Road 1275 N
Albion, IL 62806-4156

Mailing address

627 County Road 1275 N
Albion, IL 62806-4156
Phone (630) 877-7058

Other providers in Albion, IL

All providers in Albion, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.