MEDICARE: MRS. ELIZABETH MCQUEEN B.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790853265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH MCQUEEN B.A.

Provider Business Mailing Address
First Line	:	214 E WERNSING AVE
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-4028
Country	:	US
Telephone Number	:	217-234-6405
Fax Number	:	217-258-6136

Provider Business Practice Location Address
First Line	:	1300 CHARLESTON AVE
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-4016
Country	:	US
Telephone Number	:	217-234-6405
Fax Number	:	217-258-6136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1063454254 — HIGHLAND PARK CVS LLC
Practice Location Address:

1316 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-258-2920
Practice Fax:

1982633509 — TONY E RICHARDS R.PH.
Practice Location Address:

1316 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-258-2920
Practice Fax: 217-235-4190

1659483303 — MRS. JUDY G LATTA M.S.
Practice Location Address:

1300 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-234-6405
Practice Fax: 217-258-6136

1487059044 — ROBERT C HIGH BC-HIS
Practice Location Address:

1302 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-235-5203
Practice Fax: 217-235-5210

1033713524 — JASON WAGGONER RPH
Practice Location Address:

1316 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-258-2920
Practice Fax:

1093301863 — CARISSA RUNDE PHARMD
Practice Location Address:

1316 CHARLESTON AVE
MATTOON, IL
61938-4016

Practice Phone: 217-258-2920
Practice Fax:

Directions to “ MRS. ELIZABETH MCQUEEN B.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.