Elizabeth Ann Macy, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ingleside, IL
NPI 1285146993 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1285146993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146012359 (IL)
- Practice address
- 33315 N Fish Lake Rd
Ingleside, IL 60041-9263 - Phone
- (847) 740-1490
- NPI assigned
- Nov 3, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 146012359 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146012359 | IL | Yes |
Addresses
Primary practice location
33315 N Fish Lake Rd
Ingleside, IL 60041-9263
Mailing address
33315 N Fish Lake Rd
Ingleside, IL 60041-9263
Phone (847) 740-1490
Other providers in Ingleside, IL
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- Min Jung Kwon
- Amy Sue Lewis
- Stephanie L Lopez
- Aneta Luszcz
- Mobilemogulruralhealthclinic
- Laure Moore
- Dana Muligano
- Diego Munoz
- Jennifer Ann O'Grady
All providers in Ingleside, 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 Nov 3, 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.