Basic Information
| Provider Information | |||||||||
| NPI: | 1417342577 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHMITS | ||||||||
| FirstName: | ELIZABETH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 552 W ROSCOE ST | ||||||||
| Address2: | GARDEN UNIT | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606573528 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 31 CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | ROSELLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601721903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6308945058 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2015 | ||||||||
| LastUpdateDate: | 04/05/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 146012564 | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.