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NPI Code Detail

MEDICARE: ELIZABETH MCILQUHAM MC, CCC-SLP

MEDICARE: ELIZABETH MCILQUHAM MC, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist22006220AIN

General Provider Information

NPI Number : 1023969979
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MCILQUHAM MC, CCC-SLP
Provider Business Mailing Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-375-3815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ ELIZABETH MCILQUHAM MC, CCC-SLP” Practice Location

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