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NPI Code Detail

MEDICARE: ELAINA M WELDON CCC-SLP

MEDICARE: ELAINA M WELDON 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 Pathologist146-016507IL
2235Z00000XSpeech-Language PathologistNY

General Provider Information

NPI Number : 1871154385
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINA M WELDON CCC-SLP
Provider Business Mailing Address
First Line : 423 KEDZIE ST APT 2
Second Line :
City : EVANSTON
State : IL
Zip : 60202-2362
Country : US
Telephone Number : 518-332-8615
Fax Number :
Provider Business Practice Location Address
First Line : 1660 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2045
Country : US
Telephone Number : 847-299-5588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 08/31/2025

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