Elizabeth Ann Glazik, SLP
Individual provider Active NPI Speech-Language Pathologist · Channahon, IL
NPI 1467683094 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1467683094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242001301 (IL)
- Practice address
- 26540 S McKinley Woods Rd
Channahon, IL 60410-9218 - Phone
- (815) 530-0790
- NPI assigned
- Jul 30, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242001301 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242001301 | IL | Yes |
Addresses
Primary practice location
26540 S McKinley Woods Rd
Channahon, IL 60410-9218
Mailing address
26540 S McKinley Woods Rd
Channahon, IL 60410-9218
Phone (815) 530-0790
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All providers in Channahon, 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 Feb 21, 2012. 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.