DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELIZABETH HARPER BRISTOW

MEDICARE: ELIZABETH HARPER BRISTOW
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1710803911
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HARPER BRISTOW
Provider Business Mailing Address
First Line : 4108 FIELDSTONE RD
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8801
Country : US
Telephone Number : 303-241-6061
Fax Number :
Provider Business Practice Location Address
First Line : 4108 FIELDSTONE RD
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8801
Country : US
Telephone Number : 303-241-6061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

Similar Medicare Providers

1891780615 — THE CARLE FOUNDATION HOSPITAL
Practice Location Address:
4116 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 217-383-3488
Practice Fax: 217-355-8133
1851387385 — THE CARLE FOUNDATION HOSPITAL
Practice Location Address:
4116 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 217-383-3151
Practice Fax: 217-355-8133
1538987011 — HAILEY JOHNSON BCBA
Practice Location Address:
4108 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 888-308-3728
Practice Fax:
1013714732 — ASHLEY POLNITZ MSN, RN, NE-BC, CLC
Practice Location Address:
4116 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 217-649-3390
Practice Fax:
1013714690 — CRISTINA L BECERRA RN
Practice Location Address:
4116 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 217-991-0319
Practice Fax:
1710784335 — MRS. SARAH ASKLUND BSN, RN, SANE, CLC
Practice Location Address:
4116 FIELDSTONE RD
CHAMPAIGN, IL
61822-8801
Practice Phone: 217-902-3140
Practice Fax:

Directions to “ ELIZABETH HARPER BRISTOW ” 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.