MEDICARE: ELIZABETH HACKL SLP PLLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1477408417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH HACKL SLP PLLC

Provider Business Mailing Address
First Line	:	705 11TH ST APT 211
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-2672
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 SKOKIE BLVD STE 150
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-1198
Country	:	US
Telephone Number	:	847-471-5882
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/SLP
Name	:	ELIZABETH HACKL
Credential	:
Telephone Number	:	847-471-5882

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ELIZABETH HACKL SLP PLLC ” Practice Location

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