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NPI Code Detail

MEDICARE: MRS. ALLISON ELIZABETH MEYRICK

MEDICARE:  MRS. ALLISON ELIZABETH MEYRICK
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 Pathologist146.004347IL

General Provider Information

NPI Number : 1861897431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON ELIZABETH MEYRICK
Provider Business Mailing Address
First Line : 5838 CHARLES LN
Second Line :
City : OAK FOREST
State : IL
Zip : 60452-2009
Country : US
Telephone Number : 708-204-6430
Fax Number :
Provider Business Practice Location Address
First Line : 5838 CHARLES LN
Second Line :
City : OAK FOREST
State : IL
Zip : 60452-2009
Country : US
Telephone Number : 708-204-6430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2014
Last Update Date : 10/24/2014

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Directions to “ MRS. ALLISON ELIZABETH MEYRICK ” Practice Location

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