=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235869777
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH KLINGER LPMT, MT-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2022
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 657 E GOLF RD STE 301
-----------------------------------------------------
City | ARLINGTON HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60005-4071
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-580-9012
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7511 W WINONA ST
-----------------------------------------------------
City | HARWOOD HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60706-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-580-3443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225A00000X
-----------------------------------------------------
Taxonomy Name | Music Therapist
-----------------------------------------------------
License Number | 144000031
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------