Provider Demographics
NPI:1699014340
Name:BIGGIO, ELIZABETH S (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:BIGGIO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 S MICHIGAN AVE
Mailing Address - Street 2:#911
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2416
Mailing Address - Country:US
Mailing Address - Phone:630-267-0150
Mailing Address - Fax:
Practice Address - Street 1:1212 S MICHIGAN AVE
Practice Address - Street 2:#911
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2416
Practice Address - Country:US
Practice Address - Phone:630-267-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010881235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist