Elizabeth Anne Bennett
Individual provider Active NPI Speech-Language Pathologist · Morton Grove, IL
NPI 1154836815 · NPPES record last updated Dec 4, 2017
Key facts
- NPI
- 1154836815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 8701 Menard Ave
Morton Grove, IL 60053-3052 - Phone
- (317) 294-0920
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
8701 Menard Ave
Morton Grove, IL 60053-3052
Mailing address
8701 Menard Ave
Morton Grove, IL 60053-3052
Phone (317) 294-0920
Other providers in Morton Grove, IL
- Laura Barnett
- Fallon Barry
- Taizoon Baxamusa
- Alexie Bedoya
- Christian Bello
- Penny Benson
- Kimberly Berland
- Daniel Berman
- Jerry Bernstein
- James O Bertini
All providers in Morton Grove, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.